Healthsource of South Lake LLC
Healthsource of South Lake LLC is a Chiropractor in Southlake, Texas. Registered with an NPI since 2011.
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2225 W Southlake Blvd Ste 441Southlake, TX 76092-6750
Phone: (817) 310-0150
Fax: (817) 310-0710
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Chiropractor (primary) | Taxonomy 111N00000X |
|---|
Record details
| NPI number | 1396025151 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | M Brandon Pettke — Dc/Manager · (817) 310-0150 |
| NPI enumerated | August 25, 2011 |
| Last updated in NPPES | September 12, 2013 |
| Mailing address | 2225 W Southlake Blvd, Suite 441, Southlake, TX 76092-6750 |
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