Organization
TRI-STATE LITHOTRIPSY III LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE BRUCE (PARTNER)
(806) 662-5898
Entity
Organization
Contact information
Practice address
320 W FRANCIS AVE, PAMPA, TX 79065-6447
(806) 669-3402
Mailing address
320 W FRANCIS AVE, PAMPA, TX 79065-6447
(806) 669-3402
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/17/2018
Update your record
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