Organization · Type 2 NPI

Pediatric Ambulatory Surgery Center Southlake

Ambulatory Surgical Clinic/Center · Southlake, TX

NPI number 1235509993 Active

Practice location

470 E State Highway 114
Southlake, TX 76092-4406

Fax (817) 724-0010

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

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

11 other providers at this address

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About NPI 1235509993

Pediatric Ambulatory Surgery Center Southlake's National Provider Identifier is 1235509993, issued on Oct 6, 2015. 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 Nov 10, 2015.