OrganizationActive
East Texas II - Longview, Lp
NPI 1255794061 · Lithotripsy Clinic/Center · Irving, TX
Provider details
- NPI number
- 1255794061
- Entity type
- Organization
- Primary specialty
- Lithotripsy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- United Medical Systems
- Authorized official
- Angela Walker, Business Manager
Practice location
2801 Gateway Dr
Suite 100
Irving, TX 75063-6082
Phone: (410) 356-5290
Fax: (410) 356-5292
Mailing address
1700 W Park Dr
Westborough, MA 01581-3939
Registry dates
- Enumerated
- 2016-03-30
- Last updated
- 2016-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.