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Organization
SOUTHPARK SURGERY CENTER, LLC
Active
Organization
SOUTHPARK SURGERY CENTER, LLC
Active
Other names
Cardiovascular Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JARED LEGER (MANAGER)
(337) 274-6549
Entity
Organization
Contact information
Practice address
901 WILSON ST STE A, LAFAYETTE, LA 70503-2439
(512) 220-3824
Mailing address
13830 SAWYER RANCH RD STE 105, DRIPPING SPRINGS, TX 78620-5514
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
02/20/2020
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