Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pediatric Ambulatory Surgery Center Southlake

Ambulatory Surgical Clinic/Center in Southlake, TX · enumerated 2015 · authorized official Jerry Lee, Vice President of Accounting.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235509993

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Registry record

Entity type Organization (Type 2)

Legal business name Pediatric Ambulatory Surgery Center Southlake

Other name <Unavail>

Practice address 470 E State Highway 114, Southlake, TX, 76092

Phone (817) 730-5437

Fax (817) 724-0010

Enumeration date Oct 6, 2015

Last updated in NPPES Nov 10, 2015

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jerry Lee

Title Vice President of Accounting

Phone (214) 456-0588

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Pediatric Ambulatory Surgery Center Southlake?

NPPES lists Jerry Lee (Vice President of Accounting) as the authorized official for this organization.

What is the NPI number for Pediatric Ambulatory Surgery Center Southlake?

The NPI for Pediatric Ambulatory Surgery Center Southlake is 1235509993, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-11-10.