Waco Lithotripsy, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WACO LITHOTRIPSY, LLC

Practice address

5150 Broadway St
Box 189
San Antonio, TX 78209-5710

Phone

(520) 323-8732

Fax

(520) 547-1865

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Lacey Dinh

Title

Revenue Cycle Manager of Abs

Phone

(520) 258-0326

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1750569869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 E SPEEDWAY BLVD",
            "address_2": "SUITE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101147",
            "telephone_number": "520-323-8732",
            "fax_number": "520-547-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 BROADWAY ST",
            "address_2": "BOX 189",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095710",
            "telephone_number": "520-323-8732",
            "fax_number": "520-547-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO LITHOTRIPSY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER OF ABS",
        "authorized_official_telephone_number": "520-258-0326"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew William Waack, D.O.
• Waad & Abd LLC
• Lois M Wachsmuth, LPC
• Sandra Waclawczyk, PTA
• Ashley Waclawiak, LCSW
• Jamie E Wadas
• Shawn Waddell
• Gary Waddington
• Jennifer Adrienne Wade, MSN,APRN, FNP-C
• Joan B Wade, PHD LPC

• Ambulatory Surgical Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.