Silverlake Professional Group
NPI #1861100976 in Southlake, Texas
Provider Information
- NPI Number
- 1861100976
- Entity Type
- Organization
- Organization Name
- Silverlake Professional Group
- Primary Specialty
- Family Medicine - Geriatric Medicine
- Enumeration Date
- Nov 8, 2022
- Last Updated
- Nov 8, 2022
Practice Location
Authorized Official
- Name
- PHILIP TALLEY, FNP
- Title
- OWNER
- Phone
- (323) 524-4434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
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