SILVERLAKE PROFESSIONAL GROUP
NPI 1861100976
Family Medicine - Geriatric Medicine in Southlake, TX

Q: What is Silverlake Professional Group's NPI number?

The NPI number for Silverlake Professional Group is 1861100976. It was assigned to this organization in the NPPES registry on November 8, 2022. The provider is doing business as Silverlake Medical Group and Timber Lake Consulting, LLC.

Q: What is Silverlake Professional Group's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since November 08, 2022

2104 KIMBALL HILL CT, SOUTHLAKE, TX 76092(432) 352-4443 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Silverlake Professional Group NPPES

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

SILVERLAKE PROFESSIONAL GROUP (NPI 1861100976), doing business as Silverlake Medical Group, is a healthcare organization registered as a geriatric medicine in Southlake, Texas and active in the NPI registry since November 2022. The organization lists Philip Talley, Owner, as its authorized official.

NPPES Registry Identity

NPI1861100976

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameSILVERLAKE PROFESSIONAL GROUP

Location Address2104 KIMBALL HILL CTSouthlake, TX 76092-7914

Mailing Address2104 Kimball Hill CtSouthlake, TX 76092-7914 · (432) 352-4443

Phone(432) 352-4443

Organization SubpartNo

Authorized OfficialPhilip TalleyOwner · (323) 524-4434

Enumeration DateNovember 8, 2022

NPPES CertifiedNovember 8, 2022

✔ NPI 1861100976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

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.

2104 KIMBALL HILL CT, Southlake, TX 76092

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Other Names 2

Doing Business AsSilverlake Medical Group

Doing Business AsTimber Lake Consulting, Llc

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 MULTIPLE 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 Silverlake Professional Group's NPI number?

The NPI number for Silverlake Professional Group is 1861100976. It was assigned to this organization in the NPPES registry on November 8, 2022. The provider is doing business as Silverlake Medical Group and Timber Lake Consulting, LLC.

Where is Silverlake Professional Group located?

Silverlake Professional Group is located at 2104 Kimball Hill Ct, Southlake, TX 76092. The listed phone number is (432) 352-4443.

What is Silverlake Professional Group's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Silverlake Professional Group was last updated on November 8, 2022. 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.