NPI age
10 years
Enumerated 2015-10-06
● Active Type 2 · Organization
Pediatric Ambulatory Surgery Center Southlake
Pediatric Ambulatory Surgery Center Southlake 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
Lee
Vice President Of Accounting
Last NPPES update
2015-11-10
Source: monthly bulk 2026-05
How this organization compares
Across 1647 active clinic/center providers in Texas.
NPI age
10 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-10Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
470 E State Highway 114
Southlake, TX 760924406
Mailing address
470 E State Highway 114
Southlake, TX 760924406
Authorized official
Jerry Lee
Vice President Of Accounting
📞 2144560588
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jeanne Joglar, MD Radiology NPI 1992768626
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Childrenshealth Surgery Center
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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