# GULF COAST II LITHOTRIPSY LP

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

## Provider details

- **NPI number:** 1871595397
- **Authorized official:** MRS. TRACY M STOLARSKI (VP FOR GENERAL PARTNER)
- **Authorized official phone:** (404) 255-9300

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 08/15/2005
- **Last updated:** 11/07/2007