NPI 1013731397
Bentonville Endoscopy Center, LLC
Practice location
- Address
- 3700 SE Dodson Road Suite #4, Bentonville, AR 72712
- Phone
- (817) 893-2381
- Mailing address
- 550 Reserve St STE 550, Southlake, TX 76092-1604
Authorised official
- Name
- Kelly Rouvaldt
- Title
- Director of Ascs
- Phone
- (817) 893-2381
Registered specialties
Ambulatory Surgical Clinic/Center
Primary
Registry record
- NPI
- 1013731397
- Entity type
- Organization
- NPI issued
- 13 Nov 2024
- Record last updated
- 13 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.