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Lonestar Ambulatory Surgical Center

Clinic/Center, Ambulatory Surgical in Grapevine, TX. Organization (NPI-2).

NPI number1679804355
StatusActive
Last updated in NPPESJun 22, 2020

Details

NPI
1679804355
Entity type
Organization (NPI-2)
Legal business name
Lonestar Ambulatory Surgical Center
Organization subpart
No
Enumeration date
Jan 20, 2010
Certification date
Jun 22, 2020
Last updated
Jun 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical130049TXYes

Practice location

2201 Westgate Plz
Grapevine, TX 76051-8037

Phone 817-410-2030 · Fax 817-865-1969

Mailing address

2201 Westgate Plz
Grapevine, TX 76051-8037

Phone 817-416-7988 · Fax 817-416-7976

Authorized official

Phillips Kirk Labor
MD/Owner
8174102030

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