| NPI | 1578872933 |
|---|---|
| Doing Business As | SOUTHLAKE FREESTANDING EMERGENCY MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES J O'HEARN Owner 817-442-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: TX 160018) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |