Mid-Atlantic Mobile Lithotripsy LLC

NPI #1043456262 in Austin, Texas

Provider Information

NPI Number
1043456262
Entity Type
Organization
Organization Name
Mid-Atlantic Mobile Lithotripsy LLC
Primary Specialty
Clinic/Center - Lithotripsy
Enumeration Date
Dec 17, 2008
Last Updated
Dec 17, 2008

Practice Location

Address
9825 SPECTRUM DR
Address 2
BLDG 3
City
Austin
State
Texas
ZIP Code
78717-4930
Phone
(888) 252-6575

Authorized Official

Name
THERESA DAVIS
Title
DIRECTOR, CBO
Phone
(512) 314-4331

Specialties & Taxonomy Codes

Specialty
Clinic/Center - LithotripsyLithotripsy

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