Silverlake Professional Group
Silverlake Professional Group is a Geriatric Medicine (Family Medicine) Physician in Southlake, Texas. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2104 Kimball Hill CtSouthlake, TX 76092-7914
Phone: (432) 352-4443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Family Medicine) Physician (primary) | Taxonomy 207QG0300X |
|---|
Record details
| NPI number | 1861100976 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Philip Talley — Owner · (323) 524-4434 |
| Other names | Silverlake Medical Group; Timber Lake Consulting, Llc |
| NPI enumerated | November 8, 2022 |
| Last updated in NPPES | November 8, 2022 |
| Certification date | November 8, 2022 |
| Mailing address | 2104 Kimball Hill Ct, Southlake, TX 76092-7914 |