Blue Ridge Urology Services LLC

NPI #1144480419 in Austin, Texas

Provider Information

NPI Number
1144480419
Entity Type
Organization
Organization Name
Blue Ridge Urology Services LLC
Primary Specialty
Clinic/Center - Lithotripsy
Enumeration Date
Jun 11, 2008
Last Updated
Aug 15, 2008

Practice Location

Address
1301 CAPITAL OF TEXAS HIGHWAY
Address 2
SUITE B200
City
Austin
State
Texas
ZIP Code
78746-6574
Phone
(512) 314-4331

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - LithotripsyLithotripsy

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