SOUTHLAKE PAIN AND SURGERY CENTER
NPI 1649660168
Clinic/Center - Ambulatory Surgical in Southlake, TX

Active since February 04, 2015
300 S NOLEN DR STE 160, SOUTHLAKE, TX 76092(214) 618-5600(214) 618-7733 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southlake Pain And Surgery Center NPPES

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

SOUTHLAKE PAIN AND SURGERY CENTER (NPI 1649660168) is a healthcare organization registered as an ambulatory surgical in Southlake, Texas and active in the NPI registry since February 2015. The organization lists Kim Sivaraman, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1649660168
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMILLER MAC GROUP, LLC
Location Address300 S NOLEN DR STE 160Southlake, TX 76092-8054
Mailing Address5566 Main St Ste 210Frisco, TX 75033-3673 · (214) 618-5600 · Fax (214) 618-7733
Fax(214) 618-7733
Organization SubpartNo
Authorized OfficialKim SivaramanBilling Manager · (214) 618-5600
Enumeration DateFebruary 4, 2015
Last NPPES UpdateFebruary 11, 2015
NPI 1649660168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in TX · 130212
300 S NOLEN DR STE 160, Southlake, TX 76092

Other Names 1

Doing Business AsSouthlake Pain And Surgery Center

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.

Clinic/Center (Ambulatory Surgical)
300 S NOLEN DR STE 160
SOUTHLAKE, TX 76092
Anesthesiology (Pain Medicine)
300 S NOLEN DR STE 160
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 Miller Mac Group, LLC's NPI number?

The NPI number for Miller Mac Group, LLC is 1649660168. It was assigned to this organization in the NPPES registry on February 4, 2015. The provider is doing business as Southlake Pain And Surgery Center.

Where is Miller Mac Group, LLC located?

Miller Mac Group, LLC is located at 300 S Nolen Dr Ste 160, Southlake, TX 76092. The listed phone number is (214) 618-5600.

What is Miller Mac Group, 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 Miller Mac Group, LLC was last updated on February 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.