THR/STT SOUTHLAKE ASC, LLC

NPI # 

Practice Address:

290 Miron Dr

Southlake, TX, 76092-7858

Practice Phone:

817-442-9300

Practice Fax:

817-416-0108

License Number:

00000

License State:

TX

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Ambulatory Surgical

Taxonomy Code:

261QA1903X