Southlake Gyn And Wellness Center

LBN: Southlake Gyn And Wellness Center
Southlake Gyn And Wellness Center is an health care organization with primary practice located at 220 N Park Blvd Ste 100 , Grapevine TX 76051-6900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Southlake Gyn And Wellness Center can be contacted via phone (817) 280-9616, or through Torres, Miriam M via phone (817) 280-9616.

Contact Information

Primary practice address
220 N Park Blvd Ste 100 Grapevine TX 76051-6900
Phone: (817) 280-9616
Fax: (817) 722-6328
Website:
Map and Directions
Authorized official contact:
Name: Torres, Miriam M Doctor of Medicine (MD)
Phone: (817) 280-9616

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X N1926 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 41197 Kentucky

Profile Details

NPI number 1649700808
LBN Legal business name Southlake Gyn And Wellness Center
DBA Doing business as
Authorized official Torres, Miriam M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2017
Last updated Jun 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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