Pediatric Ambulatory Surgery Center Southlake
NPI 1235509993 · Ambulatory Surgical Clinic/Center · Southlake, TX
Pediatric Ambulatory Surgery Center Southlake is a Ambulatory Surgical Clinic/Center organization in Southlake, TX (NPI 1235509993).
Provider details
- NPI number
- 1235509993
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Lee, Vice President of Accounting(214) 456-0588
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Childrenshealth Surgery Center
Registry dates
- Enumerated
- 2015-10-06
- Last updated
- 2015-11-10
Frequently asked questions
- What is Pediatric Ambulatory Surgery Center Southlake's NPI number?
- Pediatric Ambulatory Surgery Center Southlake's National Provider Identifier (NPI) is 1235509993, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Ambulatory Surgery Center Southlake?
- Pediatric Ambulatory Surgery Center Southlake is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pediatric Ambulatory Surgery Center Southlake located?
- Pediatric Ambulatory Surgery Center Southlake's practice location on file with NPPES is 470 E State Highway 114, Southlake, TX 76092-4406.
- What is Pediatric Ambulatory Surgery Center Southlake's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Ambulatory Surgery Center Southlake is (817) 730-5437.
- Who is the authorized official for Pediatric Ambulatory Surgery Center Southlake?
- The authorized official listed on Pediatric Ambulatory Surgery Center Southlake's NPPES record is Jerry Lee, Vice President of Accounting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Ambulatory Surgery Center Southlake's NPI active?
- Yes — Pediatric Ambulatory Surgery Center Southlake's NPI (1235509993) is active in the NPPES registry as of the last update on 2015-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.