Fayetteville Lithotripters, L.p. - La1

NPI 1154401669 - Clinic/Center - 261QL0400X

NPI Details
NPI 1154401669
Enumeration Date 10/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THERESA THERESA
Position DIRECTOR, CBO
Phone (512) 314-4331
Fax
Practice Location
1301 S CAPITAL OF TEXAS HWY
SUITE B200
WEST LAKE HILLS TX, 78746-6574, US
Phone (512) 314-4331
Fax
Business Location
PO BOX 847324
DALLAS TX, 75284-7324, US
Phone
Fax
Toxanomy
Taxonomy Code 261QL0400X
License State
License Number
Remove 1154401669 NPI Number
 

According to our database, Fayetteville Lithotripters, L.p. - La1 NPI is 1154401669, taxonomy code is 261QL0400X Fayetteville Lithotripters, L.p. - La1 physically located at 1301 S Capital Of Texas Hwy, West Lake Hills TX, 78746-6574. NPI Number 1033115704 has the healthcare provider type.

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1154401669 NPI number is provided on an as is basis without warranty of any kind. 1154401669 is maintained by the National Plan & Provider Enumeration System. The contents of Fayetteville Lithotripters, L.p. - La1 are for informational purposes only.