Greater Atlanta Lithotripsy, Llc

NPI 1417038571 - Clinic/Center - 261QL0400X

NPI Details
NPI 1417038571
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 DIRETCOR, CBO
Phone (512) 314-4331
Fax
Practice Location
1301 CAPITAL OF TEXAS
SUITE B200
AUSTIN 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
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According to our database, Greater Atlanta Lithotripsy, Llc NPI is 1417038571, taxonomy code is 261QL0400X Greater Atlanta Lithotripsy, Llc physically located at 1301 Capital Of Texas, Austin TX, 78746-6574. NPI Number 1033115704 has the healthcare provider type.

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1417038571 NPI number is provided on an as is basis without warranty of any kind. 1417038571 is maintained by the National Plan & Provider Enumeration System. The contents of Greater Atlanta Lithotripsy, Llc are for informational purposes only.