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1285715839
KENTUCKY 1 LITHOTRIPSY LLC
WEST LAKE HILLS, TX
NPI
1285715839
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Entity Type
Organization
Authorized Contact
THERESA DAVIS
Director, Cbo
512-314-4331
Organization Subpart ?
No
Primary Taxonomy
261QL0400X Clinic/Center, Lithotripsy
Enumeration Date
2006-10-18
Last Update Date
2020-08-22
Business Address
KENTUCKY 1 LITHOTRIPSY LLC
1301 S CAPITAL OF TEXAS HWY SUITE B200
WEST LAKE HILLS, TX 78746-6574
Phone number: 512-314-4331
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Mailing Address
KENTUCKY 1 LITHOTRIPSY LLC
PO BOX 847324
DALLAS, TX 75284-7324
Phone number:
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