Organization
SILVERLAKE PROFESSIONAL GROUP
Active
Organization
SILVERLAKE PROFESSIONAL GROUP
Active
Other names
Silverlake Medical Group, Timber Lake Consulting, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP TALLEY FNP (OWNER)
(323) 524-4434
Entity
Organization
Contact information
Practice address
2104 KIMBALL HILL CT, SOUTHLAKE, TX 76092-7914
(432) 352-4443
Mailing address
2104 KIMBALL HILL CT, SOUTHLAKE, TX 76092-7914
(432) 352-4443
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up