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SOUTHLAKE TROPHY CLUB RADIOLOGY
NPI 1568403046
Radiology - Diagnostic Radiology in Trophy Club, TX

Active since June 08, 2006
2800 SOUTH HIGHWAY 114, TROPHY CLUB, TX 76726(817) 908-7810(206) 337-0544 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Southlake Trophy Club Radiology NPPES

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

SOUTHLAKE TROPHY CLUB RADIOLOGY (NPI 1568403046) is a healthcare organization registered as a diagnostic radiology in Trophy Club, Texas and active in the NPI registry since June 2006. The organization lists Sarah Khan, Radiologist, as its authorized official.

NPPES Registry Identity

NPI1568403046
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSOUTHLAKE TROPHY CLUB RADIOLOGY
Location Address2800 SOUTH HIGHWAY 114Trophy Club, TX 76726
Mailing Address2155 N Pearson LnWestlake, TX 76262-9016 · (817) 908-7810 · Fax (206) 337-0544
Phone(817) 908-7810
Fax(206) 337-0544
Organization SubpartNo
Authorized OfficialSarah KhanRadiologist · (817) 908-7810
Enumeration DateJune 8, 2006
Last NPPES UpdateNovember 1, 2011
✔ NPI 1568403046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · L1091
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2800 SOUTH HIGHWAY 114, Trophy Club, TX 76726
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Other Identifiers 1

Medicare UPING67126TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Trophy Club Radiology's NPI number?

The NPI number for Southlake Trophy Club Radiology is 1568403046. It was assigned to this organization in the NPPES registry on June 8, 2006.

Where is Southlake Trophy Club Radiology located?

Southlake Trophy Club Radiology is located at 2800 South Highway 114, Trophy Club, TX 76726. The listed phone number is (817) 908-7810.

What is Southlake Trophy Club Radiology's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Southlake Trophy Club Radiology was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.