GULF SOUTH LITHOTRIPSY LLC NPI 1184878027

NPI Information

  • NPI: 1184878027
  • Provider Name: GULF SOUTH LITHOTRIPSY, LLC
  • Classification: Clinic/Center - 261QL0400X
  • Specialization: Lithotripsy
  • Entity Type: Organization
  • Address: 9825 SPECTRUM DR
    BLDG 3
    AUSTIN, TX
    ZIP 78717
  • Phone: (512) 314-4331

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NPI Details

GULF SOUTH LITHOTRIPSY, LLC is a lithotripsy clinic center in Austin, TX. GULF SOUTH LITHOTRIPSY, LLC NPI is 1184878027. The provider is registered as an organization entity type.

The provider's business location address is:

9825 SPECTRUM DR
BLDG 3
AUSTIN, TX
ZIP 78717-930
Phone: (512) 314-4331

The provider's authorized official is Theresa Davis .
The authorized official title is Dirrector, Cbo and has the following contact phone number (512) 314-4331.

The enumeration date for this NPI number is 11/5/2008 and was last updated on 11/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QL0400XClinic/CenterLithotripsyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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