SS
SOUTHLAKE SURGERY CENTER, LLC
Adult Day Care
OIG CLEARNPI VERIFIED
Location
SOUTHLAKE, TX
Licensed since
2010
Rate
—
Federal identifiers
NPI registry number1013218601
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameJONATHAN HEISTEIN
TitleMEDICAL DIRECTOR
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