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