Tri-State Lithotripsy III LP

Primary specialty

Lithotripsy Clinic/CenterTaxonomy code 261QL0400X

Legal business name

TRI-STATE LITHOTRIPSY III LP

Practice address

320 W Francis Ave
Pampa, TX 79065-6447

Phone

(806) 669-3402

NPI assigned

Mar 7, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wayne Bruce

Title

Partner

Phone

(806) 662-5898

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1346742277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W FRANCIS AVE",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790656447",
            "telephone_number": "806-669-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W FRANCIS AVE",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790656447",
            "telephone_number": "806-669-3402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 W FRANCIS AVE",
            "address_purpose": "LOCATION",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790656447",
            "country_code": "US",
            "telephone_number": "806-662-5898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-STATE LITHOTRIPSY III LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "806-662-5898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin A Taylor, O.D.
• Lori Beth Taylor, M.S., SLP-CFY
• Pathom Thavaradhara, MD
• Top O Texas Anesthesiology Services
• Total Care Health PA (Pampa Pain Management)
• Gloria M Trirogoff, MD
• United Supermarkets LLC (United Pharmacy #2128)
• Vijay K Mohan MD PA
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0600)
• Wal-Mart Stores Texas, LLC (Wal-Mart Vision Center 30-0600)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.