P Praxis·MD
● Active Type 2 · Organization

Thr/stt Southlake Asc, Llc

Clinic/Center·Southlake, TX· NPI 1982716106 · Enumerated 2006 · 19 years on NPI
Thr/stt Southlake Asc, Llc is 1 of 1647 clinic/center organizations in Texas.
NPI age
19 years
Enumerated 2006-09-01
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hebard
Ceo
Last NPPES update
2024-09-30
Source: monthly bulk 2026-05

How this organization compares

Across 1647 active clinic/center providers in Texas.

NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
290 Miron Dr
Southlake, TX 760927858
📞 8174429300fax 8174160108
Mailing address
1545 E Southlake Blvd, Suite 100
Southlake, TX 76092
📞 8174429300fax 8174160108

Authorized official

Mark Gatley Hebard
Ceo
📞 8174429300

Specialties

  • Clinic/Center Primary
    Definition to come...
    TX license #00000 taxonomy 261QA1903X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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