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Organization
FOREST PARK MEDICAL CENTER AT SOUTHLAKE, LLC
Active
Organization
FOREST PARK MEDICAL CENTER AT SOUTHLAKE, LLC
Active
Other names
FPMC Southlake
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES NASAM (CEO)
(469) 330-6740
Entity
Organization
Contact information
Practice address
421 EAST STATE HIGHWAY 114, SOUTHLAKE, TX 76092
(817) 865-4400
(817) 865-4840
Mailing address
421 EAST STATE HIGHWAY 114, SOUTHLAKE, TX 76092
(817) 865-4400
(817) 865-4840
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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