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

Southlake Trophy Club Radiology

Organization Diagnostic Radiology Physician · NPI 1568403046

Southlake Trophy Club Radiology is a Diagnostic Radiology Physician in Trophy Club, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

2800 S Highway 114
Trophy Club, TX 76726
Phone: (817) 908-7810
Fax: (206) 337-0544

No coordinates on file. Search this address in Google Maps

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence L1091 (TX)

Record details

NPI number1568403046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Khan — Radiologist · (817) 908-7810
NPI enumeratedJune 8, 2006
Last updated in NPPESNovember 1, 2011
Mailing address2155 N Pearson Ln, Westlake, TX 76262-9016