Organization
DESTINATION HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE K TIMMONS (OPERATIONS MANAGER)
(817) 310-6050
Entity
Organization
Contact information
Practice address
900 E SOUTHLAKE BLVD, SUITE 200, SOUTHLAKE, TX 76092-6375
(817) 310-6050
(817) 310-6051
Mailing address
900 E SOUTHLAKE BLVD, SUITE 200, SOUTHLAKE, TX 76092-6375
(817) 310-6050
(817) 310-6051
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
H6268
TX
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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