Organization · NPI-2
Carolina Lithotripsy, A Limited Partnership
Clinic/Center, Lithotripsy · Round Rock, TX
NPI number1679581003
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1679581003
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolina Lithotripsy, A Limited Partnership
- Organization subpart
- No
- Enumeration date
- Aug 3, 2006
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QL0400X | Clinic/Center, Lithotripsy | – | – | Yes |
| 208800000X | Urology | – | – |
Practice location
1990 Steam Way Ste A102Round Rock, TX 78665-2233
Phone 877-465-4845 · Fax 512-872-5105
Mailing address
1990 Steam Way Ste A102Round Rock, TX 78665-2233
Phone 877-465-4845 · Fax 512-872-5105
Authorized official
Latanya Castile
Payer Relations
8475445939
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