Gulf South Lithotripsy, LLC

Primary specialty

Lithotripsy Clinic/CenterTaxonomy code 261QL0400X

Legal business name

GULF SOUTH LITHOTRIPSY, LLC

Practice address

9825 Spectrum Dr
BLDG 3
Austin, TX 78717-4930

Phone

(512) 314-4331

NPI assigned

Nov 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa Davis

Title

Dirrector, Cbo

Phone

(512) 314-4331

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1184878027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847324",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 SPECTRUM DR",
            "address_2": "BLDG 3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174930",
            "telephone_number": "512-314-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF SOUTH LITHOTRIPSY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DIRRECTOR, CBO",
        "authorized_official_telephone_number": "512-314-4331"
    },
    "taxonomies": [
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atul Gulati
• Nicholas Jon Guldan, DC
• Saurabh Guleria, M.D.
• Gulf Coast Surgical Assistants
• Gulf Coast Transport & Logistics LLC
• Laura Guli, PH.D.
• Alexia Gullett
• Kelly Kathleen Gumbert, PT
• Anna Kate Gumble
• Christen Gumbs, PT, DPT

• Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.