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SOUTHLAKE GROUP HEALTH, LLC
NPI 1124733407
Clinic/Center - Primary Care in Southlake, TX

Active since January 20, 2023
1920 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092(281) 429-8526 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southlake Group Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHLAKE GROUP HEALTH, LLC (NPI 1124733407) is a healthcare organization registered as a primary care in Southlake, Texas and active in the NPI registry since January 2023. The organization lists Felisha Walker, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1124733407
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHLAKE GROUP HEALTH, LLC
Location Address1920 E STATE HIGHWAY 114Southlake, TX 76092-6510
Mailing Address16131 N Eldridge Pkwy Ste 100Tomball, TX 77377-9130 · (832) 585-2747
Phone(281) 429-8526
Organization SubpartNo
Authorized OfficialFelisha WalkerBilling Manager · (281) 429-8526
Enumeration DateJanuary 20, 2023
NPPES CertifiedJanuary 20, 2023
✔ NPI 1124733407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1920 E STATE HIGHWAY 114, Southlake, TX 76092
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAKE SANCHEZ FNP
Family Medicine
1920 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (682) 365-2929
NIKITA GREENWOOD FNP
Nurse Practitioner (Family)
1920 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (817) 442-5698
JAMES DANIEL JENNINGS FNP-BC
Nurse Practitioner (Family)
1920 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (817) 442-5698
STATE OF THE HEART CARDIOLOGY
Internal Medicine (Cardiovascular Disease)
1920 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (817) 442-5698
ABIGAIL JOY RASMUSSEN CNP-BC
Nurse Practitioner (Women's Health)
1920 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (817) 442-5698
AMANDA DAY RCP,CRT
Respiratory Therapist, Certified (Home Health)
1920 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (855) 636-5486
CHELSEA MAGUIRE
Family Medicine
1920 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (817) 442-5698
KESHIA AHSAKI SANDERS FNP-BC
Nurse Practitioner (Family)
1920 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (817) 442-5698

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southlake Group Health, LLC's NPI number?

The NPI number for Southlake Group Health, LLC is 1124733407. It was assigned to this organization in the NPPES registry on January 20, 2023.

Where is Southlake Group Health, LLC located?

Southlake Group Health, LLC is located at 1920 E State Highway 114, Southlake, TX 76092. The listed phone number is (281) 429-8526.

What is Southlake Group Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Southlake Group Health, LLC was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.