Organization
SOUTHLAKE SERENITY PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANA KALEEMULLAH (OWNER)
(817) 203-3721
Entity
Organization
Contact information
Practice address
305 MIRON DR, SOUTHLAKE, TX 76092-7831
(817) 203-3721
Mailing address
305 MIRON DR, SOUTHLAKE, TX 76092-7831
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
08/28/2025
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