Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Ambulatory Surgery Center Southlake

Organization Ambulatory Surgical Clinic/Center · NPI 1235509993

Pediatric Ambulatory Surgery Center Southlake is an Ambulatory Surgical Clinic/Center in Southlake, Texas. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

470 E State Highway 114
Southlake, TX 76092-4406
Phone: (817) 730-5437
Fax: (817) 724-0010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1235509993
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Lee — Vice President Of Accounting · (214) 456-0588
Other names Childrenshealth Surgery Center
NPI enumeratedOctober 6, 2015
Last updated in NPPESNovember 10, 2015
Mailing address470 E State Highway 114, Southlake, TX 76092-4406

Other providers in Southlake