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

Southlake Foot & Wellness Center LLC

Organization Specialist · NPI 1154824209

Southlake Foot & Wellness Center LLC provides Specialist services in Colleyville, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6407 Colleyville Blvd Ste B
Colleyville, TX 76034-6279
Phone: (817) 527-6077
Fax: (817) 796-1694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence AC00108 (TX)

Record details

NPI number1154824209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vitality Clinic — Owner · (817) 527-6077
Other names Vitality Wellness Clinic; Vitality Wellness Clinic; Vitality Wellness Clinic
NPI enumeratedMarch 15, 2018
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023
Mailing address901 W Wall St Ste 103, Grapevine, TX 76051-7419

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