OrganizationActiveAccepts Medicare
Southlake Specialty Hospital, LLC
NPI 1629064928 · General Acute Care Hospital · Southlake, TX
Enrolled with Medicare as Part a Provider - Hospital · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1629064928
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Traci Bernard, President(817) 748-8784
- License
- 008128 (TX)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1545 Southlake Blvd.
Southlake, TX 76092-6422
Phone: (817) 748-8784
Fax: (817) 748-8787
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 735801
Dallas, TX 75373-5801
Other names (DBA / former)
- Doing business as
- Texas Health Harris Methodist Hospital Southlake
- Doing business as
- Texas Health Harris Methodist Hospital Southlake
Registry dates
- Enumerated
- 2005-09-22
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.