Organization
LOUISVILLE LITHOTRIPSY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT DAVIS (LEGAL COUNSEL)
(512) 721-4748
Entity
Organization
Contact information
Practice address
9825 SPECTRUM DR, BLDG 3, AUSTIN, TX 78717-4913
(512) 328-2892
Mailing address
9825 SPECTRUM DR, BLDG 3, AUSTIN, TX 78717-4913
(512) 328-2892
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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