Organization
WACO 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
KELLY ROUVALDT (DIRECTOR OF ASCS)
(817) 893-2381
Entity
Organization
Contact information
Practice address
2510 AMBASSADOR DRIVE, SUITE A, WACO, TX 76712
(817) 893-2381
Mailing address
550 RESERVE ST STE 550, SOUTHLAKE, TX 76092-1604
(817) 893-2381
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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