Organization · Type 2 NPI

Southlake Orthopedics & Sports Medicine, PLLC

Orthopaedic Surgery Physician · Keller, TX

NPI number 1740162726 Active

Practice location

1149 Keller Pkwy Ste A
Keller, TX 76248-1620

Mailing address

800 12th Ave Ste 200
Fort Worth, TX 76104-2519

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XNone listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1740162726

Southlake Orthopedics & Sports Medicine, PLLC's National Provider Identifier is 1740162726, issued on Jul 22, 2025. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Keller, TX. The record was last updated on May 6, 2026.