# TRI-STATE LITHOTRIPSY III LP

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

## Provider details

- **NPI number:** 1346742277
- **Authorized official:** MR. WAYNE BRUCE (PARTNER)
- **Authorized official phone:** (806) 662-5898

## Contact information

- **Practice address:** 320 W FRANCIS AVE, PAMPA, TX 79065-6447
- **Practice address phone:** (806) 669-3402
- **Mailing address:** 320 W FRANCIS AVE, PAMPA, TX 79065-6447
- **Mailing address phone:** (806) 669-3402

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2018
- **Last updated:** 03/17/2018