SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C. (NPI# 1619261757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619261757 |
| Entity Type | Organization |
| Organization Name | SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C. |
| Practice Address |
1001 W Southlake Blvd Southlake TX 76092-6010 |
| Mailing Address |
1001 West Southlake Blvd. Southlake TX 76092 |
| Practice Telephone | 8173100421 |
| Practice Fax Number | 8173105870 |
| Mailing Telephone | 8173100421 |
| Mailing Fax Number | 8173105870 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |
| Authorized Official Name | JEFFERY B PHELPS (PRESIDENT) |
| Authorized Official Telephone | 8176160700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | L5053 | TX | Ambulatory Health Care Facilities |
| Street Address |
1001 W SOUTHLAKE BLVD |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750481537 | George Wyatt Webb | Family Medicine | 1001 W Southlake Blvd, Southlake, TX 76092 | 2006-09-22 |
| 1134767411 | Arlington Orthopedic Associates Pa | Durable Medical Equipment & Medical Supplies | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2019-12-17 |
| 1972157915 | Shelly Skariah | Nurse Practitioner | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2019-07-29 |
| 1487191821 | Kristina Myles | Chiropractor | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2017-01-24 |
| 1417203100 | Kimberly Ann Ward | Internal Medicine | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2012-07-31 |
| 1295001311 | Mihills Home Visits Pllc | Family Medicine | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2012-03-23 |
| 1831338391 | Wyatt Webb Md Pa | Clinic/Center | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2009-02-06 |
| 1245437193 | Lana M Heath | Nurse Practitioner | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2007-07-02 |
| 1235211186 | Christine Ann Linert | Nurse Practitioner | 1001 W Southlake Blvd, Southlake, TX 76092-6010 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447658810 | Childrens Medical Center of Dallas | Clinic/Center | 470 E State Highway 114, Southlake, TX 76092-4406 | 2014-12-16 |
| 1114367307 | Artemis International Inc. | Clinic/Center | 2750 E Southlake Blvd, Suite 120, Southlake, TX 76092-8021 | 2013-07-02 |
| 1073899324 | Devos Chiropractic P.a. | Clinic/Center | 1959 W Southlake Blvd, Suite 140, Southlake, TX 76092-6713 | 2011-11-01 |
| 1871812594 | Crowne Diagnostics Inc | Clinic/Center | 300 State St # 93504, Southlake, TX 76092-7668 | 2010-05-20 |
| 1326223652 | Aboudib Advanced Pain Center | Clinic/Center | 3120 W Southlake Blvd # 140, Southlake, TX 76092-6783 | 2008-01-05 |
| 1518476407 | Doctx3 Pllc | Clinic/Center | 2419 W Southlake Blvd Ste 100, Southlake, TX 76092-6718 | 2017-09-24 |
| 1235308578 | Advanced Spine Solutions Pa | Clinic/Center | 2813 W Southlake Blvd, Suite #100, Southlake, TX 76092-6829 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558826 | Mercy Clinic | Clinic/Center | 951 Tristar Dr, Webster, TX 77598-1536 | 2020-11-03 |
| 1477150688 | Sun Houston, LLC | Clinic/Center | 7505 Fannin St Ste 430, Houston, TX 77054-1944 | 2020-10-01 |
| 1295341147 | Mo City Apothecary LLC | Clinic/Center | 3708 Texas Pkwy Ste F, Missouri City, TX 77489-6173 | 2020-09-16 |
| 1114531167 | Action Potential - Sports and Neurological Rehab, Pllc | Clinic/Center | 3816 S Lamar Blvd Apt 2712, Austin, TX 78704-7955 | 2020-09-06 |
| 1609480755 | Galloway Clinic Pllc | Clinic/Center | 1336 N Galloway Ave Ste 124a, Mesquite, TX 75149-2490 | 2020-09-06 |
| 1508470170 | Honestar Wound Care Pllc | Clinic/Center | 7908 Modena Dr, Fort Worth, TX 76126-6144 | 2020-09-01 |
| 1093328981 | Caspian Medical Services | Clinic/Center | 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1992318885 | Integra Assessments | Clinic/Center | 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.