Organization
WILLOW PARK ENDOSCOPY CENTER, LLC
Active
Parent organization
GI ALLIANCE SURGERY CENTER, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GI ALLIANCE SURGERY CENTER, PLLC
Authorized official
KIM WEST RN (CEO)
(817) 415-0343
Entity
Organization
Contact information
Practice address
130 JIMMA DRIVE, SUITE B, WILLOW PARK, TX 76087
(817) 363-1410
(817) 363-1411
Mailing address
130 JIMMA DRIVE, SUITE B, WILLOW PARK, TX 76087
(817) 363-1410
(817) 363-1411
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
12/15/2023
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