GREAT LAKES LITHOTRIPSY PARTNERSHIP, LP

AUSTIN, TX
NPI1992886071
Entity TypeOrganization
Authorized ContactTHERESA DAVIS
Director, Cbo
512-314-4331
Organization Subpart ?No
Primary Taxonomy261QL0400X Clinic/Center, Lithotripsy
Enumeration Date2006-10-17
Last Update Date2020-08-22
Business Address
GREAT LAKES LITHOTRIPSY PARTNERSHIP, LP
1301 CAPITAL OF TEXAS HIGHWAY SUITE B200
AUSTIN, TX 78746-6574
Phone number: 512-314-4331
Mailing Address
GREAT LAKES LITHOTRIPSY PARTNERSHIP, LP
PO BOX 847324
DALLAS, TX 75284-7324
Phone number:
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