Southlake Select, Pc

LBN: Southlake Select, Pc
Southlake Select, Pc is an health care organization with primary practice located at 4011 Talbot Rd S 440, Renton WA 98055-5773. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Managed Care Organizations / Point of Service. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Southlake Select, Pc can be contacted via phone (425) 793-4702, or through Toulouse, Dominick Robert via phone (425) 793-4702.

Contact Information

Primary practice address
4011 Talbot Rd S 440 Renton WA 98055-5773
Phone: (425) 793-4702
Fax: (425) 271-5382
Website:
Map and Directions
Authorized official contact:
Name: Toulouse, Dominick Robert Doctor of Medicine (MD)
Phone: (425) 793-4702

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Managed Care Organizations / Point of Service 305S00000X 0020685 Washington

Profile Details

NPI number 1548791924
LBN Legal business name Southlake Select, Pc
DBA Doing business as
Authorized official Toulouse, Dominick Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2017
Last updated May 8th, 2017 - about 8 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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