Healthcare Associates of Southlake LLP

NPI #1043720154 in Southlake, Texas

Provider Information

NPI Number: 1043720154
Entity Type: Organization
Organization Name: Healthcare Associates of Southlake LLP
Primary Specialty: Family Medicine
Enumeration Date: Oct 3, 2017
Last Updated: Oct 3, 2017

Practice Location

Address: 2106 E STATE HIGHWAY 114
Address 2: STE 300
City: Southlake
State: Texas
ZIP Code: 76092
Phone: (817) 552-4300

Authorized Official

Name: WALTER GAMAN, MD
Title: PHYSICIAN/PARTNER
Phone: (817) 307-9312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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