OrganizationActive
Healthsource of South Lake LLC
NPI 1396025151 · Chiropractor · Southlake, TX
Healthsource of South Lake LLC is a Chiropractor organization in Southlake, TX (NPI 1396025151).
Provider details
- NPI number
- 1396025151
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- M Brandon Pettke, Dc/Manager(817) 310-0150
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2225 W Southlake Blvd
Suite 441
Southlake, TX 76092-6750
Phone: (817) 310-0150
Fax: (817) 310-0710
Street-level locationGet directions
Mailing address
2225 W Southlake Blvd
Southlake, TX 76092-6750
Registry dates
- Enumerated
- 2011-08-25
- Last updated
- 2013-09-12
Frequently asked questions
- What is Healthsource of South Lake LLC's NPI number?
- Healthsource of South Lake LLC's National Provider Identifier (NPI) is 1396025151, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healthsource of South Lake LLC?
- Healthsource of South Lake LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Healthsource of South Lake LLC located?
- Healthsource of South Lake LLC's practice location on file with NPPES is 2225 W Southlake Blvd, Southlake, TX 76092-6750.
- What is Healthsource of South Lake LLC's phone number?
- The practice phone number listed in the NPPES registry for Healthsource of South Lake LLC is (817) 310-0150.
- Who is the authorized official for Healthsource of South Lake LLC?
- The authorized official listed on Healthsource of South Lake LLC's NPPES record is M Brandon Pettke, Dc/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healthsource of South Lake LLC's NPI active?
- Yes — Healthsource of South Lake LLC's NPI (1396025151) is active in the NPPES registry as of the last update on 2013-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.