Mansfield Endoscopy Center, LLC
NPI #1366047433 in Mansfield, Texas
Provider Information
- NPI Number
- 1366047433
- Entity Type
- Organization
- Organization Name
- Mansfield Endoscopy Center, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GI ALLIANCE SURGERY CENTER, PLLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Dec 4, 2020
- Last Updated
- Jun 29, 2022
Practice Location
Authorized Official
- Name
- KELLY ROUVALDT
- Title
- DIRECTOR OF ASC OPERATIONS
- Phone
- (817) 415-9670
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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