# NORTH TEXAS LITHOTRIPSY LTD

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

## Provider details

- **NPI number:** 1699040881
- **Authorized official:** LACEY DINH (REVENUE CYCLE MANAGER OF ABS)
- **Authorized official phone:** (520) 258-0326

## Contact information

- **Practice address:** 5150 BROADWAY ST \# 189, SAN ANTONIO, TX 78209-5710
- **Practice address phone:** (520) 323-8732
- **Practice address fax:** (520) 258-0304
- **Mailing address:** 6339 E SPEEDWAY BLVD STE 201, TUCSON, AZ 85710-1147
- **Mailing address phone:** (520) 323-8732
- **Mailing address fax:** (520) 258-0304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2012
- **Last updated:** 12/21/2015