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Organization
MOBILE KIDNEY STONE CENTERS OF CALIFORNIA, LTD
Active
Organization
MOBILE KIDNEY STONE CENTERS OF CALIFORNIA, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA DAVIS (DIRECTOR, CBO)
(512) 314-4331
Entity
Organization
Contact information
Practice address
1301 CAPITAL OF TEXAS HIGHWAY, SUITE B200, AUSTIN, TX 78746-6574
(512) 314-4331
(512) 314-4494
Mailing address
PO BOX 847324, DALLAS, TX 75284-7324
(512) 314-4331
(512) 314-4494
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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