Active NPI
Watermere Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Southlake, TX
National Provider Identifier
1821471640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- WATERMERE SURGERY CENTER LLC
- Practice address
- 2815 W Southlake Blvd Ste 100
Southlake, TX 76092-6726 - Phone
- (817) 431-3200
- Fax
- (817) 431-3117
- NPI assigned
- Jun 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ved V. Aggarwal, MD
- Title
- Medical Director
- Phone
- (972) 849-8216
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2815 W Southlake Blvd Ste 100
Southlake, TX 76092-6726
Mailing address
1000 Lipscomb St Ste 110
Fort Worth, TX 76104-3181
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1669558136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540166400000",
"number": "1821471640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 LIPSCOMB ST STE 110",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 W SOUTHLAKE BLVD STE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926726",
"telephone_number": "817-431-3200",
"fax_number": "817-431-3117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERMERE SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-30",
"last_updated": "2018-10-22",
"status": "A",
"authorized_official_last_name": "AGGARWAL",
"authorized_official_first_name": "VED",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "972-849-8216",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.