# RESTON LITHOTRIPSY LIMITED PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316028475
- **Authorized official:** THERESA DAVIS (DIRECTOR, CBO)
- **Authorized official phone:** (512) 314-4331

## Contact information

- **Practice address:** 1301 CAPITAL OF TEXAS HIGHWAY, SUITE B200, AUSTIN, TX 78746-6574
- **Practice address phone:** (512) 314-4331
- **Mailing address:** PO BOX 847324, DALLAS, TX 75284-7324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QL0400X | Lithotripsy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 08/22/2020