Thr/stt Southlake Asc, LLC

NPI #1982716106 in Southlake, Texas

Provider Information

NPI Number
1982716106
Entity Type
Organization
Organization Name
Thr/stt Southlake Asc, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Sep 1, 2006
Last Updated
Sep 30, 2024

Practice Location

Address
290 MIRON DR
State
Texas
ZIP Code
76092-7858
Phone
(817) 442-9300

Authorized Official

Name
MARK GATLEY HEBARD
Title
CEO
Phone
(817) 442-9300

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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