OrganizationActive
Southlake Foot & Wellness Center LLC
NPI 1154824209 · Specialist · Colleyville, TX
Southlake Foot & Wellness Center LLC is a Specialist organization in Colleyville, TX (NPI 1154824209).
Provider details
- NPI number
- 1154824209
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Vitality Clinic, Owner(817) 527-6077
- License
- AC00108 (TX)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6407 Colleyville Blvd Ste B
Colleyville, TX 76034-6279
Phone: (817) 527-6077
Fax: (817) 796-1694
Street-level locationGet directions
Mailing address
901 W Wall St Ste 103
Grapevine, TX 76051-7419
Other names (DBA / former)
- Other name
- Vitality Wellness Clinic
- Doing business as
- Vitality Wellness Clinic
- Doing business as
- Vitality Wellness Clinic
Registry dates
- Enumerated
- 2018-03-15
- Last updated
- 2023-10-05
- Certified
- 2023-10-05
Frequently asked questions
- What is Southlake Foot & Wellness Center LLC's NPI number?
- Southlake Foot & Wellness Center LLC's National Provider Identifier (NPI) is 1154824209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southlake Foot & Wellness Center LLC?
- Southlake Foot & Wellness Center LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Southlake Foot & Wellness Center LLC located?
- Southlake Foot & Wellness Center LLC's practice location on file with NPPES is 6407 Colleyville Blvd Ste B, Colleyville, TX 76034-6279.
- What is Southlake Foot & Wellness Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Southlake Foot & Wellness Center LLC is (817) 527-6077.
- Who is the authorized official for Southlake Foot & Wellness Center LLC?
- The authorized official listed on Southlake Foot & Wellness Center LLC's NPPES record is Vitality Clinic, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southlake Foot & Wellness Center LLC's NPI active?
- Yes — Southlake Foot & Wellness Center LLC's NPI (1154824209) is active in the NPPES registry as of the last update on 2023-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.