OrganizationActive
Prime Kidney Stone Treatment, Inc
NPI 1760563829 · Lithotripsy Clinic/Center · Austin, TX
Provider details
- NPI number
- 1760563829
- Entity type
- Organization
- Primary specialty
- Lithotripsy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Theresa Davis, Director, Cbo(512) 314-4331
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1301 Capital of Texas Highway
Suite B200
Austin, TX 78746-6574
Phone: (512) 314-4331
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 847324
Dallas, TX 75284-7324
Other names (DBA / former)
- Doing business as
- Wisconsin Pvp
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2008-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.