Southlake Mhya Pllc

NPI #1093400590 in Southlake, Texas

Provider Information

NPI Number
1093400590
Entity Type
Organization
Organization Name
Southlake Mhya Pllc
Primary Specialty
Pain Medicine - Pain Medicine
Enumeration Date
Apr 10, 2023
Last Updated
Sep 11, 2025

Practice Location

Address
420 N KIMBALL AVE STE 140
State
Texas
ZIP Code
76092-6995
Phone
(817) 583-0575

Authorized Official

Name
HARITHA MIKKILINENI, MD
Title
OWNER
Phone
(817) 583-0575

Specialties & Taxonomy Codes

Specialty
Pain Medicine - Pain MedicinePain Medicine

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