Forest Park Medical Center at Southlake, LLC

NPI #1801134903 in Southlake, Texas

Provider Information

NPI Number
1801134903
Entity Type
Organization
Organization Name
Forest Park Medical Center at Southlake, LLC
Primary Specialty
General Acute Care Hospital
Enumeration Date
Jan 24, 2013
Last Updated
Jan 24, 2013

Practice Location

Address
421 EAST STATE HIGHWAY 114
State
Texas
ZIP Code
76092
Phone
(817) 865-4400

Authorized Official

Name
CHARLES NASAM
Title
CEO
Phone
(469) 330-6740

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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