BLUE RIDGE UROLOGY SERVICES LLC

AUSTIN, TX
NPI1144480419
Entity TypeOrganization
Authorized ContactTHERESA DAVIS
Director Cbo
512-314-4331
Organization Subpart ?No
Primary Taxonomy261QL0400X Clinic/Center, Lithotripsy
Enumeration Date2008-06-11
Last Update Date2008-08-15
Business Address
BLUE RIDGE UROLOGY SERVICES LLC
1301 CAPITAL OF TEXAS HIGHWAY SUITE B200
AUSTIN, TX 78746-6574
Phone number: 512-314-4331
Mailing Address
BLUE RIDGE UROLOGY SERVICES LLC
PO BOX 847324
DALLAS, TX 75284-7324
Phone number:
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