# DESTINATION HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346646528
- **Authorized official:** MRS. JULIE K TIMMONS (OPERATIONS MANAGER)
- **Authorized official phone:** (817) 310-6050

## Contact information

- **Practice address:** 900 E SOUTHLAKE BLVD, SUITE 200, SOUTHLAKE, TX 76092-6375
- **Practice address phone:** (817) 310-6050
- **Practice address fax:** (817) 310-6051
- **Mailing address:** 900 E SOUTHLAKE BLVD, SUITE 200, SOUTHLAKE, TX 76092-6375
- **Mailing address phone:** (817) 310-6050
- **Mailing address fax:** (817) 310-6051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | H6268 | TX | Yes |

## Other

- **Enumeration date:** 11/14/2014
- **Last updated:** 11/14/2014