Southlake Foot & Wellness Center LLC
NPI #1154824209 in Colleyville, Texas
Provider Information
- NPI Number
- 1154824209
- Entity Type
- Organization
- Organization Name
- Southlake Foot & Wellness Center LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 15, 2018
- Last Updated
- Oct 5, 2023
Practice Location
- Address
- 6407 COLLEYVILLE BLVD STE B
- City
- Colleyville
- State
- Texas
- ZIP Code
- 76034-6279
- Phone
- (817) 527-6077
Authorized Official
- Name
- VITALITY WELLNESS CLINIC
- Title
- OWNER
- Phone
- (817) 527-6077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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