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Southlake Gyn and Wellness Center

Obstetrics & Gynecology Physician in Grapevine, TX · enumerated 2017 · authorized official Miriam Torres, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649700808

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Registry record

Entity type Organization (Type 2)
Legal business name Southlake Gyn and Wellness Center
Practice address 220 N Park Blvd Ste 100, Grapevine, TX, 76051
Phone (817) 280-9616
Fax (817) 722-6328
Enumeration date Jun 19, 2017
Last updated in NPPES Jun 11, 2019

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License N1926 (TX) Primary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License 41197 (KY) Secondary

Authorized official

Name Miriam Torres
Title Owner
Phone (817) 280-9616

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Southlake Gyn and Wellness Center?
Southlake Gyn and Wellness Center is registered in NPPES as a Obstetrics & Gynecology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-11.