Healthsource of South Lake LLC

NPI #1396025151 in Southlake, Texas

Provider Information

NPI Number: 1396025151
Entity Type: Organization
Organization Name: Healthsource of South Lake LLC
Primary Specialty: Chiropractor
Enumeration Date: Aug 25, 2011
Last Updated: Sep 12, 2013

Practice Location

Address: 2225 W SOUTHLAKE BLVD
Address 2: SUITE 441
City: Southlake
State: Texas
ZIP Code: 76092-6750
Phone: (817) 310-0150

Authorized Official

Name: DR. M BRANDON PETTKE, DC
Title: DC/MANAGER
Phone: (817) 310-0150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

Similar Providers

Provider Name	Specialty	City
DR. Kevin Stice, D.C.	Chiropractor	Southlake	AI Deep Dive
Darnell Brown, D.C	Chiropractor	Southlake	AI Deep Dive
Kirsten Schumacher, DC	Chiropractor	Southlake	AI Deep Dive
DR. Gregory T Guzman, DC	Chiropractor	Southlake	AI Deep Dive
Wim L Devos, DC	Chiropractor	Southlake	AI Deep Dive

Want to research this healthcare provider further?