Organization · Type 2 NPI

Watermere Surgery Center LLC

Ambulatory Surgical Clinic/Center · Southlake, TX

NPI number 1821471640 Active

Practice location

2815 W Southlake Blvd Ste 100
Southlake, TX 76092-6726

Call (817) 431-3200 Map

Fax (817) 431-3117

Mailing address

1000 Lipscomb St Ste 110
Fort Worth, TX 76104-3181

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

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

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About NPI 1821471640

Watermere Surgery Center LLC's National Provider Identifier is 1821471640, issued on Jun 30, 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 Oct 22, 2018.