Organization · Type 2 NPI

Mediclink Management Group

Family Medicine Physician · Southlake, TX

NPI number 1013391184 Active

Practice location

415 E Southlake Blvd Ste 100
Southlake, TX 76092-6279

Mailing address

325 Miron Dr Ste 110
Southlake, TX 76092-7829

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1013391184

Mediclink Management Group's National Provider Identifier is 1013391184, issued on Jul 17, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Southlake, TX. The record was last updated on Jul 17, 2015.