OrganizationActive
Great Lakes Laser Services, Lp
NPI 1184706541 · Lithotripsy Clinic/Center · West Lake Hills, TX
Provider details
- NPI number
- 1184706541
- Entity type
- Organization
- Primary specialty
- Lithotripsy Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Theresa Davis, Director, Cbo
Practice location
1301 S Capital of Texas Hwy
Suite B200
West Lake Hills, TX 78746-6574
Phone: (512) 314-4331
Mailing address
Po Box 847324
Dallas, TX 75284-7324
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.