Organization · Type 2 NPI
Southlake Gyn and Wellness Center, PLLC
Obstetrics & Gynecology Physician · Southlake, TX
Practice location
431 E State Highway 114 Ste 380
Southlake, TX 76092-4414
Fax (817) 722-6328
Other practice locations
- 220 N Park Blvd Ste 100, Grapevine, TX 76051-6900 · (817) 280-9616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician Primary | 207V00000X | N1926 (TX) |
| Obstetrics & Gynecology Physician | 207V00000X | 41197 (KY) |
Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3 other providers at this address
About NPI 1649700808
Southlake Gyn and Wellness Center, PLLC's National Provider Identifier is 1649700808, issued on Jun 19, 2017. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Southlake, TX. The record was last updated on Sep 1, 2026.