Fayetteville Lithotripters Limited Partnership- Louisiana I
NPI #1154401669 in Round Rock, Texas
Provider Information
- NPI Number
- 1154401669
- Entity Type
- Organization
- Organization Name
- Fayetteville Lithotripters Limited Partnership- Louisiana I
- Primary Specialty
- Clinic/Center - Lithotripsy
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Jul 1, 2024
Practice Location
- Address
- 1990 STEAM WAY STE A102
- City
- Round Rock
- State
- Texas
- ZIP Code
- 78665-2233
- Phone
- (877) 465-4845
Authorized Official
- Name
- LATANYA CASTILE
- Title
- PAYER RELATIONS
- Phone
- (847) 544-5939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
| Clinic/Center - Lithotripsy — Lithotripsy |
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