P Praxis·MD
● Active Type 2 · Organization

Southlake Foot & Wellness Center Llc

Specialist·Colleyville, TX· NPI 1154824209 · Enumerated 2018 · 8 years on NPI
Southlake Foot & Wellness Center Llc is 1 of 4038 specialist organizations in Texas.
NPI age
8 years
Enumerated 2018-03-15
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clinic
Owner
Last NPPES update
2023-10-05
Source: monthly bulk 2026-05

How this organization compares

Across 4038 active specialist providers in Texas.

NPI age
8 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-03Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
6407 Colleyville Blvd Ste B
Colleyville, TX 760346279
📞 8175276077fax 8177961694
Mailing address
901 W Wall St Ste 103
Grapevine, TX 760517419
📞 8175276077

Authorized official

Vitality Wellness Clinic
Owner
📞 8175276077

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    TX license #AC00108 taxonomy 174400000X

Other names on file (3)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Vitality Wellness Clinic
    Type code 3 recorded 2023-10-05
  • Vitality Wellness Clinic
    Type code 5 recorded 2023-10-05
  • Vitality Wellness Clinic
    Type code 3 recorded 2018-03-15

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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