SOUTHERN HORIZON HEALTHCARE, PLLC
NPI 1649691429
Clinic/Center - Primary Care in Highland Village, TX

Active since December 23, 2013CLIA 45D2071990 · Waiver
2014 JUSTIN RD, SUITE 104, HIGHLAND VILLAGE, TX 75077(469) 645-0200(469) 637-0000 Get Directions Write a Review

NPPES record last updated: February 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Horizon Healthcare, Pllc NPPES

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

SOUTHERN HORIZON HEALTHCARE, PLLC (NPI 1649691429) is a healthcare organization registered as a primary care in Highland Village, Texas and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Jennifer M Bontreger, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1649691429
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHERN HORIZON HEALTHCARE, PLLC
Location Address2014 JUSTIN RD, SUITE 104Highland Village, TX 75077-7161
Mailing Address2014 Justin Rd, Suite 104Highland Village, TX 75077-7161 · (469) 645-0200 · Fax (469) 637-0000
Fax(469) 637-0000
Organization SubpartNo
Authorized OfficialJennifer M BontregerCo-owner · (469) 645-0200
Enumeration DateDecember 23, 2013
Last NPPES UpdateFebruary 1, 2014
NPI 1649691429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2014 JUSTIN RD, Highland Village, TX 75077

Other Identifiers 1

Medicare OSCAR/certification142996TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2071990

Southern Horizon Healthcare · Highland Village, TX
Active · expires Apr 6, 2027
CLIA Number45D2071990
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorJennifer M. Bontreger
Laboratory Phone(469) 695-0200
Laboratory LocationSouthern Horizon Healthcare2280 Highland Village Rd Suite 100, Highland Village, TX 75077
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Sports Medicine)
2014 JUSTIN RD, SUITE 104
HIGHLAND VILLAGE, TX 75077
Dentist (General Practice)
2014 JUSTIN RD, STE 110
HIGHLAND VILLAGE, TX 75077
Optometrist
2014 JUSTIN RD, SUITE 104
HIGHLAND VILLAGE, TX 75077

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 Southern Horizon Healthcare, PLLC's NPI number?

The NPI number for Southern Horizon Healthcare, PLLC is 1649691429. It was assigned to this organization in the NPPES registry on December 23, 2013.

Where is Southern Horizon Healthcare, PLLC located?

Southern Horizon Healthcare, PLLC is located at 2014 Justin Rd Suite 104, Highland Village, TX 75077. The listed phone number is (469) 645-0200.

What is Southern Horizon Healthcare, PLLC's specialty?

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

Does Southern Horizon Healthcare, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2071990) is associated with this NPI, valid through April 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Horizon Healthcare, PLLC was last updated on February 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.