Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Country Family Practice, PA

Organization Family Medicine Physician · NPI 1790976934

North Country Family Practice, PA is a Family Medicine Physician in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1050 E Hwy 114 Ste 100
Southlake, TX 76092-5242
Phone: (817) 329-8364
Fax: (817) 329-1285
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (TX)

Record details

NPI number1790976934
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Dotti — Medical Director · (817) 329-8364
NPI enumeratedAugust 5, 2007
Last updated in NPPESFebruary 17, 2010
Mailing address1050 E. Hwy. 114, Suite 100, Southlake, TX 76092-5242

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