SELECT ASC DEVELOPERS OF SOUTHLAKE, LLC
NPI 1033643747
Clinic/Center - Ambulatory Surgical in Southlake, TX

Active since April 19, 2017
3065 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092(972) 234-4740 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Select Asc Developers Of Southlake, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELECT ASC DEVELOPERS OF SOUTHLAKE, LLC (NPI 1033643747) is a healthcare organization registered as an ambulatory surgical in Southlake, Texas and active in the NPI registry since April 2017. The organization lists Tracy Walls, President, as its authorized official.

NPPES Registry Identity

NPI1033643747
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSELECT ASC DEVELOPERS OF SOUTHLAKE, LLC
Location Address3065 W SOUTHLAKE BLVDSouthlake, TX 76092-6730
Mailing AddressPo Box 674201Dallas, TX 75267-4201 · (972) 234-4740
Organization SubpartNo
Authorized OfficialTracy WallsPresident · (972) 234-4740
Enumeration DateApril 19, 2017
NPI 1033643747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3065 W SOUTHLAKE BLVD, Southlake, TX 76092

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology (Pain Medicine)
3065 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Dermatology
3065 W SOUTHLAKE BLVD, STE 140
SOUTHLAKE, TX 76092

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Select ASC Developers Of Southlake, LLC's NPI number?

The NPI number for Select ASC Developers Of Southlake, LLC is 1033643747. It was assigned to this organization in the NPPES registry on April 19, 2017.

Where is Select ASC Developers Of Southlake, LLC located?

Select ASC Developers Of Southlake, LLC is located at 3065 W Southlake Blvd, Southlake, TX 76092. The listed phone number is (972) 234-4740.

What is Select ASC Developers Of Southlake, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Select ASC Developers Of Southlake, LLC was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.