First Team Surgical

Specialty details in registry · Southlake, TX

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At a glance

1052 Summerplace Ln, Southlake, TX 76092-5120

NPPES record updated Sep 20, 2016. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1052 Summerplace Ln
Southlake, TX 76092-5120

Professional details: NPI, taxonomy & registry record

NPI1265980478

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 163WR0006X
Enumeration date: Sep 16, 2016
Record updated: Sep 20, 2016

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

163WR0006X · Primary

License reported: 605077 TX

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1052 Summerplace Ln
Southlake, TX 76092-5120

Phone: (817) 379-5600

Mailing address

PO BOX 93191

SOUTHLAKE, TX 760921191

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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