OrganizationActive
Great Lakes Lithotripsy Partnership, Lp
NPI 1992886071 · Lithotripsy Clinic/Center · Austin, TX
Provider details
- NPI number
- 1992886071
- Entity type
- Organization
- Primary specialty
- Lithotripsy Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Theresa Davis, Director, Cbo
Practice location
1301 Capital of Texas Highway
Suite B200
Austin, TX 78746-6574
Phone: (512) 314-4331
Mailing address
Po Box 847324
Dallas, TX 75284-7324
Registry dates
- Enumerated
- 2006-10-17
- 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.