NPI age
15 years
Enumerated 2010-11-12
● Active Type 2 · Organization
Southlake Surgery Center, Llc
Southlake Surgery Center, Llc is 1 of 1647 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Heistein
Medical Director
Last NPPES update
2010-11-12
Source: monthly bulk 2026-05
How this organization compares
Across 1647 active clinic/center providers in Texas.
NPI age
15 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-11Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
521 W Southlake Blvd, Suite 175
Southlake, TX 760926173
Mailing address
521 W Southlake Blvd, Suite 175
Southlake, TX 760926173
Authorized official
Jonathan Heistein, M.D.
Medical Director
📞 8173282100
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.