WILLOW PARK ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Willow Park, TX. WILLOW PARK ENDOSCOPY CENTER, LLC NPI is 1487399168. The provider is registered as an organization entity type.
The provider's business location address is:
130 JIMMA DRIVE
SUITE B
WILLOW PARK, TX
ZIP 76087
Phone: (817) 363-1410
Fax: (817) 363-1411
The provider's authorized official is Kim West .
The authorized official title is Ceo and has the following contact phone number (817) 415-0343.
The CLIA number assigned to this NPI record is 45D2262858 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/28/2022 and was last updated on 12/15/2023.