Southlake Mhya PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

SOUTHLAKE MHYA PLLC

Doing business as

Medrein Health and Aesthetics

Practice address

420 N Kimball Ave Ste 140
Southlake, TX 76092-6995

Phone

(817) 583-0575

NPI assigned

Apr 10, 2023

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haritha Mikkilineni, MDNPI 1891947438

Title

Owner

Phone

(817) 583-0575

Specialties & licenses 1

Addresses

Other names 1

• Medrein Health and Aesthetics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Haritha Mikkilineni, MD

  • Internal Medicine Physician
  • Mount Gilead, OH
  • NPI 1891947438
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093400590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N KIMBALL AVE STE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926995",
            "telephone_number": "817-583-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N KIMBALL AVE STE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926995",
            "telephone_number": "817-583-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAKE MHYA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2025-09-11",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "MIKKILINENI",
        "authorized_official_first_name": "HARITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-583-0575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medrein Health and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medrein Health and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southlake HK Group Health, LLC
• Southlake Hospice Care Inc
• Southlake Hospitalists LLC
• Southlake Kidney Specialists, PLLC
• Southlake Medical Supplies, Inc.
• Southlake Natural Family Wellness, PLLC
• Southlake Neurology and
• Southlake Oncology
• Southlake Physical Medicine PLLC
• Southlake Plastic Surgery

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.