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NPI · 1396025151 · NPPES-sourced

Healthsource Of South Lake LLC

ActiveChiropractor
NPI Number
1396025151
Type 2 · Organisation
Taxonomy Code
111N00000X
Contact
(817) 310-0150
Primary practice line
Last Updated
Enumerated
Primary practice addressTX · 76092-6750
2225 W Southlake Blvd, Suite 441Southlake, TX 76092-6750
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About this NPIWhat this record shows.

NPI 1396025151 is registered to Healthsource Of South Lake LLC, a healthcare organisation classified as "Chiropractor" and located at 2225 W Southlake Blvd, Suite 441 in Southlake, Texas. The organisation's authorised official is M Brandon Pettke. The organisation has been enumerated in the NPI registry since 2011.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Healthsource Of South Lake LLC accepts. To confirm in-network status with your specific health plan, contact Healthsource Of South Lake LLC directly at (817) 310-0150.

Frequently asked

Yes. NPI 1396025151 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Chiropractor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (817) 310-0150.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Healthsource Of South Lake LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy111N00000X
Last updated
Enumerated
StatusActive
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