Southlake Surgery Center, Llc

LBN: Southlake Surgery Center, Llc
Southlake Surgery Center, Llc is an health care organization with primary practice located at 521 W Southlake Blvd Suite 175, Southlake TX 76092-6173. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Southlake Surgery Center, Llc can be contacted via phone (817) 328-2100, or through Heistein, Jonathan via phone (817) 328-2100.

Contact Information

Primary practice address
521 W Southlake Blvd Suite 175 Southlake TX 76092-6173
Phone: (817) 328-2100
Fax: (817) 328-2103
Website:
Map and Directions
Authorized official contact:
Name: Heistein, Jonathan Doctor of Medicine (MD)
Phone: (817) 328-2100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1013218601
LBN Legal business name Southlake Surgery Center, Llc
DBA Doing business as
Authorized official Heistein, Jonathan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2010
Last updated Nov 12th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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