Organization
SURGICAL AND ENDOSCOPY CENTER OF SOUTHLAKE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAMID KAMRAN M.D. (PHYSICIAN)
(817) 748-0820
Entity
Organization
Contact information
Practice address
820 DEER HOLLOW BLVD, SOUTHLAKE, TX 76092-8348
(817) 748-0820
(817) 748-0820
Mailing address
820 DEER HOLLOW BLVD, SOUTHLAKE, TX 76092-8348
(817) 748-0820
(817) 748-0820
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
TX
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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