EXECUTIVE MEDICINE OF TEXAS – NPI #1043720154
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

EXECUTIVE MEDICINE OF TEXAS is a provider located in SOUTHLAKE, TX. NPPES has assigned the NPI number 1043720154 to EXECUTIVE MEDICINE OF TEXAS on October 03, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EXECUTIVE MEDICINE OF TEXAS” is a dba name, the actual legal business name for this organization is HEALTHCARE ASSOCIATES OF SOUTHLAKE LLP. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXECUTIVE MEDICINE OF TEXAS below.

NPI Profile for
HEALTHCARE ASSOCIATES OF SOUTHLAKE LLP

NPI Number
1043720154
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HEALTHCARE ASSOCIATES OF SOUTHLAKE LLP
Doing Business As (dba): EXECUTIVE MEDICINE OF TEXAS
Primary location
2106 E STATE HIGHWAY 114
STE 300
SOUTHLAKE, TX 76092
Phone: (817) 552-4300 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WALTER GAMAN
PHYSICIAN/PARTNER
Phone: (817) 307-9312
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.