OrganizationActive
Low T, LLC
NPI 1205151271 · Primary Care Clinic/Center · Southlake, TX
Provider details
- NPI number
- 1205151271
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Walters, Manager(817) 442-5698
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
601 Zena Rucker Rd
Southlake, TX 76092-6386
Phone: (817) 442-5698
Street-level locationGet directions
Mailing address
601 Zena Rucker Rd
Southlake, TX 76092-6386
Registry dates
- Enumerated
- 2010-04-02
- Last updated
- 2010-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.