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Organization

SOUTHLAKE ORTHOPEDICS & SPORTS MEDICINE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BANTOO SEHGAL MD (OWNER)
(347) 678-9578
Entity
Organization

Contact information

Practice address
1149 KELLER PKWY STE A, KELLER, TX 76248-1620
(214) 631-9881
Mailing address
800 12TH AVE STE 200, FORT WORTH, TX 76104-2519
(214) 631-9881
(469) 482-2526

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
07/22/2025
Last updated
05/06/2026
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