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

Organization Orthopaedic Surgery Physician · NPI 1871099739

Southlake Orthopedics & Sports Medicine, PLLC is an Orthopaedic Surgery Physician in Fort Worth, Texas. Works from 2 locations. Licensed in Texas.

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

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Practice location Address checks out

800 12th Ave Ste 200
Fort Worth, TX 76104-2519
Phone: (214) 631-9881
Fax: (972) 438-2077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1149 Keller Pkwy Ste A, Keller, TX 76248-1620 — (214) 631-9881

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence R0125 (TX)

Record details

NPI number1871099739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bantoo Sehgal — Owner · (214) 631-9881
Other names Summit Orthopedics Of Texas; Summit Orthopedics Of Texas
NPI enumeratedMarch 31, 2018
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address800 12th Ave Ste 200, Fort Worth, TX 76104-2519

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