Organization
THR/STT ROCKWALL ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GATLEY HEBARD (CEO)
(817) 442-9300
Entity
Organization
Contact information
Practice address
3140 HORIZON RD STE 100, ROCKWALL, TX 75032-7817
(817) 442-9300
(817) 796-0763
Mailing address
1545 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6422
(817) 442-9300
(817) 796-0763
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2008
Last updated
09/30/2024
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