SELECT ASC DEVELOPERS OF SOUTHLAKE, LLC

SOUTHLAKE, TX
NPI1033643747
Entity TypeOrganization
Authorized ContactTRACY WALLS
President
972-234-4740
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2017-04-19
Last Update Date2017-04-19
Business Address
SELECT ASC DEVELOPERS OF SOUTHLAKE, LLC
3065 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6730
Phone number: 972-234-4740
Mailing Address
SELECT ASC DEVELOPERS OF SOUTHLAKE, LLC
PO BOX 674201
DALLAS, TX 75267-4201
Phone number: 972-234-4740
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