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

Southlake Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1013218601

Southlake Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Southlake, Texas. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

521 W Southlake Blvd Ste 175
Southlake, TX 76092-6173
Phone: (817) 328-2100
Fax: (817) 328-2103
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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 number1013218601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Heistein — Medical Director · (817) 328-2100
NPI enumeratedNovember 12, 2010
Last updated in NPPESNovember 12, 2010
Mailing address521 W Southlake Blvd, Suite 175, Southlake, TX 76092-6173

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