Select Asc Developers of Southlake, LLC

NPI #1033643747 in Southlake, Texas

Provider Information

NPI Number
1033643747
Entity Type
Organization
Organization Name
Select Asc Developers of Southlake, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Apr 19, 2017
Last Updated
Apr 19, 2017

Practice Location

Address
3065 W SOUTHLAKE BLVD
State
Texas
ZIP Code
76092-6730
Phone
(972) 234-4740

Authorized Official

Name
MRS. TRACY WALLS
Title
PRESIDENT
Phone
(972) 234-4740

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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