Organization
BENTONVILLE ENDOSCOPY CENTER, LLC
Active
Parent organization
THE GI ALLIANCE ACQUISITION, LLC
Other names
Bentonville Endoscopy Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE GI ALLIANCE ACQUISITION, LLC
Authorized official
KELLY ROUVALDT (DIRECTOR OF ASCS)
(817) 893-2381
Entity
Organization
Contact information
Practice address
3700 SE DODSON ROAD, SUITE #4, BENTONVILLE, AR 72712
(817) 893-2381
Mailing address
550 RESERVE ST STE 550, SOUTHLAKE, TX 76092-1604
(214) 697-7314
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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