Willow Park Endoscopy Center, LLC
NPI #1487399168 in Willow Park, Texas
Provider Information
- NPI Number
- 1487399168
- Entity Type
- Organization
- Organization Name
- Willow Park 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
- Apr 28, 2022
- Last Updated
- Dec 15, 2023
Practice Location
- Address
- 130 JIMMA DRIVE
- Address 2
- SUITE B
- City
- Willow Park
- State
- Texas
- ZIP Code
- 76087
- Phone
- (817) 363-1410
Authorized Official
- Name
- KIM WEST, RN
- Title
- CEO
- Phone
- (817) 415-0343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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