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Organization

GULF COAST II LITHOTRIPSY LP

Active
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Organization

GULF COAST II LITHOTRIPSY LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TRACY M STOLARSKI (VP FOR GENERAL PARTNER)
(404) 255-9300
Entity
Organization

Contact information

Practice address
154 N BURNET DR, BAYTOWN, TX 77520-1104
(770) 851-6987
Mailing address
750 HAMMOND DR NE, BLDG 18 STE 100, ATLANTA, GA 30328-5532
(404) 255-9300
(404) 255-9311

Taxonomy

Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
—
NULL

Other

Enumeration date
08/15/2005
Last updated
11/07/2007
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