Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Lithotripsy |
261QL0400X |
| NPI # | 1669981205 |
| LBN Legal business name | WEST TEXAS LITHOTRIPSY, LP |
| Authorized official | SCOTT SASSERSON - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/27/2017 |
| Last updated | 07/21/2022 - About 4 years ago |
| Identifiers | n/a |
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