Organization · Type 2 NPI
Southpark Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Lafayette, LA
NPI number
1770096273
Active
Practice location
901 Wilson St Ste A
Lafayette, LA 70503-2439
Mailing address
13830 Sawyer Ranch Rd Ste 105
Dripping Springs, TX 78620-5514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1770096273
Southpark Surgery Center, LLC's National Provider Identifier is 1770096273, issued on Nov 7, 2017. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Lafayette, LA. The record was last updated on Feb 20, 2020.