SOUTHLAKE PHYSICAL MEDICINE PLLC

SOUTHLAKE, TX
NPI1083088900
Entity TypeOrganization
Authorized ContactGARY TIGGES
Medical Director
972-981-8345
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2015-11-16
Last Update Date2016-04-29
Business Address
SOUTHLAKE PHYSICAL MEDICINE PLLC
1500 W SOUTHLAKE BLVD SUITE 120
SOUTHLAKE, TX 76092-5950
Phone number: 817-416-6116
Mailing Address
SOUTHLAKE PHYSICAL MEDICINE PLLC
1500 W SOUTHLAKE BLVD SUITE 120
SOUTHLAKE, TX 76092-5950
Phone number:
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