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Contact Information

GREAT LAKES LASER SERVICES, LP
1301 S CAPITAL OF TEXAS HWY
SUITE B200
WEST LAKE HILLS, TX78746-6574
 Phone: 512-314-4331
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Lithotripsy

261QL0400X
Indicates primary specialty

NPI Profile & details for GREAT LAKES LASER SERVICES, LP

NPI # 1184706541
LBN Legal business name GREAT LAKES LASER SERVICES, LP
Authorized official THERESA DAVIS - (DIRECTOR, CBO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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