Organization directory

<UNAVAIL> fax numbers

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1230 N KIMBALL AVE STE 130, SOUTHLAKE, TX, 76092-4707
Total destinations 1 Across general numbers and departments
NPI registry record

Provider & location details

Registered organization
<UNAVAIL>
NPI number
1801256433
Practice address
1230 N KIMBALL AVE STE 130, SOUTHLAKE, TX, 76092-4707
Telephone
(833) 667-7924
Provider specialty
See registry classification 363LP0808X — code meaning
Imported into directory
Oct 31, 2026

The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.

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Organization contacts

Fax contacts and departments

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Provider listed

Practice location fax

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(817) 755-0945
NPI 1801256433

1230 N KIMBALL AVE STE 130, SOUTHLAKE, TX, 76092-4707

Listed by the healthcare provider in a public registry. Confirm the current fax number and destination before sending.

Practice location fax reported by the provider to NPPES

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Open source