| NPI | 1982805693 |
|---|---|
| Doing Business As | SOUTHLAKE EMERGENCY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES J O'HEARN President 972-745-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |