Organization · Type 2 NPI

Southlake Group Health, LLC

Primary Care Clinic/Center · Southlake, TX

NPI number 1124733407 Active

Practice location

1920 E State Highway 114
Southlake, TX 76092-6510

Mailing address

16131 N Eldridge Pkwy Ste 100
Tomball, TX 77377-9130

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

9 other providers at this address

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About NPI 1124733407

Southlake Group Health, LLC's National Provider Identifier is 1124733407, issued on Jan 20, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Southlake, TX. The record was last updated on Jan 20, 2023.