Organization · Type 2 NPI
Miller Mac Group, LLC
Ambulatory Surgical Clinic/Center · Southlake, TX
NPI number
1649660168
Active
Practice location
300 S Nolen Dr Ste 160
Southlake, TX 76092-8054
Fax (214) 618-7733
Mailing address
5566 Main St Ste 210
Frisco, TX 75033-3673
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 130212 (TX) |
Ambulatory Surgical Clinic/Center: Definition to come...
2 other providers at this address
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- Pediatric Ambulatory Surgery Center SouthlakeAmbulatory Surgical Clinic/Center Southlake, TX NPI 1235509993
About NPI 1649660168
Miller Mac Group, LLC's National Provider Identifier is 1649660168, issued on Feb 4, 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 Feb 11, 2015.