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1124733407
SOUTHLAKE GROUP HEALTH, LLC
SOUTHLAKE, TX
NPI
1124733407
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Entity Type
Organization
Authorized Contact
FELISHA WALKER
Billing Manager
281-429-8526
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2023-01-20
Last Update Date
2023-01-20
Business Address
SOUTHLAKE GROUP HEALTH, LLC
1920 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092-6510
Phone number: 281-429-8526
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Mailing Address
SOUTHLAKE GROUP HEALTH, LLC
16131 N ELDRIDGE PKWY STE 100
TOMBALL, TX 77377-9130
Phone number: 832-585-2747
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