Organization · Type 2 NPI

Grace Ambulatory Surgery Center

Ambulatory Surgical Clinic/Center · Southlake, TX

NPI number 1083229173 Active

Practice location

470 E State Highway 114
Southlake, TX 76092-4406

Mailing address

5995 Summerside Dr Unit 797947
Dallas, TX 75379-0219

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1083229173

Grace Ambulatory Surgery Center's National Provider Identifier is 1083229173, issued on Sep 15, 2020. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Southlake, TX. The record was last updated on May 13, 2025.