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

Southlake Foot & Wellness Center LLC

Organization Specialist · NPI 1154824209

Southlake Foot & Wellness Center LLC is a Specialist in Colleyville, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6407 Colleyville Blvd Ste B
Colleyville, TX 76034-6279
Phone: (817) 527-6077
Fax: (817) 796-1694
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence AC00108 (TX)

Record details

NPI number1154824209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vitality Clinic — Owner · (817) 527-6077
Other names Vitality Wellness Clinic; Vitality Wellness Clinic; Vitality Wellness Clinic
NPI enumeratedMarch 15, 2018
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023
Mailing address901 W Wall St Ste 103, Grapevine, TX 76051-7419

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