DFW Lithotripsy, LLP

Primary specialty

Lithotripsy Clinic/CenterTaxonomy code 261QL0400X

Legal business name

DFW LITHOTRIPSY, LLP

Practice address

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

Phone

(520) 547-4130

Fax

(520) 258-0304

NPI assigned

Dec 24, 2007

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": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1871777029",
    "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": "#189",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095710",
            "telephone_number": "520-547-4130",
            "fax_number": "520-258-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW LITHOTRIPSY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2015-12-18",
        "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": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.