Southlake Physical Medicine Pllc

NPI #1083088900 in Southlake, Texas

Provider Information

NPI Number: 1083088900
Entity Type: Organization
Organization Name: Southlake Physical Medicine Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Nov 16, 2015
Last Updated: Apr 29, 2016

Practice Location

Address: 1500 W SOUTHLAKE BLVD
Address 2: SUITE 120
City: Southlake
State: Texas
ZIP Code: 76092-5950
Phone: (817) 416-6116

Authorized Official

Name: DR. GARY TIGGES, M.D.
Title: MEDICAL DIRECTOR
Phone: (972) 981-8345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

Similar Providers

Provider Name	Specialty	City
Joseph Jasser, M.D.	Internal Medicine	Southlake	AI Deep Dive
Unknown Priyanka, MD	Internal Medicine	Southlake	AI Deep Dive
Roshni Patel	Internal Medicine	Southlake	AI Deep Dive
Carl Edwin Ducharme, D.O.	Internal Medicine	Southlake	AI Deep Dive
DR. Peter J. Plantes, M.D.	Internal Medicine	Southlake	AI Deep Dive

Want to research this healthcare provider further?