Healthcare Associates of Southlake LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTHCARE ASSOCIATES OF SOUTHLAKE LLP

Practice address

2106 E State Highway 114
Ste 300
Southlake, TX 76092

Phone

(817) 552-4300

NPI assigned

Oct 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Walter Gaman, MD

Title

Physician/Partner

Phone

(817) 307-9312

Specialties & licenses 1

Addresses

Other names 1

• Executive Medicine of Texas Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Mark Anderson, MD

  • Family Medicine Physician
  • Irving, TX
  • NPI 1225004351
  NPD (past)
• Roshni Patel

  • Internal Medicine Physician
  • Southlake, TX
  • NPI 1063953271
  NPD (past)
• Le Santha Naidoo, D.O

  • Family Medicine Physician
  • Westford, MA
  • NPI 1144512179
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1043720154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 E STATE HIGHWAY 114",
            "address_2": "STE 300",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-552-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 E STATE HIGHWAY 114",
            "address_2": "STE 300",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-552-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE ASSOCIATES OF SOUTHLAKE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "GAMAN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "817-307-9312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Medicine of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Nealey Haynes, M.S. CCC-SLP
• HCS Services of Texas, Inc.
• Healing Care Hospice Inc
• Health Imaging Partners, LLC
• Health Matters Primary Care
• Healthscripts of America-Southlake, LLC
• Healthsource of South Lake LLC
• Healthtexas Provider Network
• Heard It Through the Grapevine Audiology, PC
• Heart and Vascular Medical Center of North Texas PLLC

• Family Medicine Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.