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SILVERLAKE PROFESSIONAL GROUP NPI 1861100976


NPI Information

NPI: 1861100976
Provider Name: SILVERLAKE PROFESSIONAL GROUP
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
2104 KIMBALL HILL CT
SOUTHLAKE, TX
ZIP 76092
Phone: (432) 352-4443
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SILVERLAKE PROFESSIONAL GROUP is a geriatric medicine family medicine in Southlake, TX. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. SILVERLAKE PROFESSIONAL GROUP NPI is 1861100976. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2104 KIMBALL HILL CT
SOUTHLAKE, TX
ZIP 76092-914
Phone: (432) 352-4443

The provider's authorized official is Philip Talley .
The authorized official title is Owner and has the following contact phone number (323) 524-4434.

The enumeration date for this NPI number is 11/8/2022 and was last updated on 11/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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