Surgical and Endoscopy Center of Southlake, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICAL AND ENDOSCOPY CENTER OF SOUTHLAKE, LLC

Practice address

820 Deer Hollow Blvd
Southlake, TX 76092-8348

Phone

(817) 748-0820

Fax

(817) 748-0820

NPI assigned

Nov 13, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Hamid Kamran, M.D.

Title

Physician

Phone

(817) 748-0820

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1073840971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 DEER HOLLOW BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928348",
            "telephone_number": "817-748-0820",
            "fax_number": "817-748-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 DEER HOLLOW BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928348",
            "telephone_number": "817-748-0820",
            "fax_number": "817-748-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL AND ENDOSCOPY CENTER OF SOUTHLAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "KAMRAN",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-748-0820",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sailendra R Sunkara, M.D., M.B.A.
• Alyza Sarah Sunny, FNP-C
• Joel Micah Supple, CSFA, CST
• Surgical Alliance II LLC
• Surgical Alliance Incorporated
• Surgicore LLC
• Fiona Sutter
• Matthew Sutton
• Svit Aesthetics LLC
• Rebekah L Swaim, LCSW

• Ambulatory Surgical Clinic/Center in Southlake, TX
• Providers in Southlake, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.