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Contact Information

A1B HEALTHCARE
771 E SOUTHLAKE BLVD
SOUTHLAKE, TX76092-6341
 Phone: 817-715-6166
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Adult Mental Health

261QM0850X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Health Service

261QH0100X
 

Pain

261QP3300X
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for A1B HEALTHCARE · (Female)

NPI Number 1114488327
Status Active
Credentials
Entity Individual
Enumeration date 03/29/2019
Last updated 03/29/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • Other 1275979056 FAMILY MEDICINE
  • Other 1760882518 NPI
  • Other 1346457751 PSYCHIATRIST, PAIN MEDICINE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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