Organization
LONESTAR AMBULATORY SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIPS KIRK LABOR MD (MD/OWNER)
(817) 410-2030
Entity
Organization
Contact information
Practice address
2201 WESTGATE PLZ, GRAPEVINE, TX 76051-8037
(817) 410-2030
(817) 865-1969
Mailing address
2201 WESTGATE PLZ, GRAPEVINE, TX 76051-8037
(817) 416-7988
(817) 416-7976
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130049
TX
Other
Enumeration date
01/20/2010
Last updated
06/22/2020
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