Pediatric Ambulatory Surgery Center Southlake
NPI #1235509993 in Southlake, Texas
Provider Information
- NPI Number
- 1235509993
- Entity Type
- Organization
- Organization Name
- Pediatric Ambulatory Surgery Center Southlake
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Oct 6, 2015
- Last Updated
- Nov 10, 2015
Practice Location
Authorized Official
- Name
- MR. JERRY LEE
- Title
- VICE PRESIDENT OF ACCOUNTING
- Phone
- (214) 456-0588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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