Organization · Type 2 NPI

Hippomed Medical Group

Clinic/Center · Southlake, TX

NPI number 1104685361 Active

Practice location

903 Edgemeer Ln
Southlake, TX 76092-1700

Call (833) 463-2363 Map

Fax (833) 226-5805

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1104685361

Hippomed Medical Group's National Provider Identifier is 1104685361, issued on Mar 18, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Southlake, TX. The record was last updated on Mar 18, 2024.