Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

North Country Family Practice, PA

Organization Family Medicine Physician · NPI 1790976934

North Country Family Practice, PA provides Family Medicine Physician services in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1050 E Hwy 114 Ste 100
Southlake, TX 76092-5242 Not confirmed with CMS for 16 years — call before visiting
Phone: (817) 329-8364
Fax: (817) 329-1285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (TX)

Record details

NPI number1790976934
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Dotti — Medical Director · (817) 329-8364
NPI enumeratedAugust 5, 2007
Last updated in NPPESFebruary 17, 2010
Mailing address1050 E. Hwy. 114, Suite 100, Southlake, TX 76092-5242

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