GULF SOUTH LITHOTRIPSY, LLC

AUSTIN, TX
NPI1184878027
Entity TypeOrganization
Authorized ContactTHERESA DAVIS
Dirrector, Cbo
512-314-4331
Organization Subpart ?No
Primary Taxonomy261QL0400X 
Enumeration Date2008-11-05
Last Update Date2008-11-05
Business Address
GULF SOUTH LITHOTRIPSY, LLC
9825 SPECTRUM DR BLDG 3
AUSTIN, TX 78717-4930
Phone number: 512-314-4331
Mailing Address
GULF SOUTH LITHOTRIPSY, LLC
PO BOX 847324
DALLAS, TX 75284-7324
Phone number:
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