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SOUTHLAKE PHYSICAL MEDICINE PLLC
Internal Medicine Physician
NPI: 1083088900Organization
Specialties, Licenses & Credentials
Internal Medicine PhysicianPrimary
Internal Medicine
Code: 207R00000X
Contact & Hours
- Address
- 1500 W SOUTHLAKE BLVD, SUITE 120
SOUTHLAKE, TX 76092 - Phone
- (817) 416-6116
Quick Facts
- NPI
- 1083088900
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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