Southlake Specialty Hospital, LLC

NPI #1629064928 in Southlake, Texas

Provider Information

NPI Number
1629064928
Entity Type
Organization
Organization Name
Southlake Specialty Hospital, LLC
Primary Specialty
General Acute Care Hospital
Enumeration Date
Sep 22, 2005
Last Updated
Feb 18, 2025

Practice Location

Address
1545 SOUTHLAKE BLVD.
State
Texas
ZIP Code
76092-6422
Phone
(817) 748-8784

Authorized Official

Name
MRS. TRACI BERNARD
Title
PRESIDENT
Phone
(817) 748-8784

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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