Organization
WATERMERE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VED V. AGGARWAL MD (MEDICAL DIRECTOR)
(972) 849-8216
Entity
Organization
Contact information
Practice address
2815 W SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6726
(817) 431-3200
(817) 431-3117
Mailing address
1000 LIPSCOMB ST STE 110, FORT WORTH, TX 76104-3181
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
10/22/2018
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