Southlake Physical Medicine Pllc

LBN: Southlake Physical Medicine Pllc
Southlake Physical Medicine Pllc is an health care organization with primary practice located at 1500 W Southlake Blvd Suite 120, Southlake TX 76092-5950. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Southlake Physical Medicine Pllc can be contacted via phone (817) 416-6116, or through Tigges, Gary via phone (972) 981-8345.

Contact Information

Primary practice address
1500 W Southlake Blvd Suite 120 Southlake TX 76092-5950
Phone: (817) 416-6116
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tigges, Gary Doctor of Medicine (MD)
Phone: (972) 981-8345

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1083088900
LBN Legal business name Southlake Physical Medicine Pllc
DBA Doing business as
Authorized official Tigges, Gary Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2015
Last updated Apr 29th, 2016 - about 9 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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