Organization · Type 2 NPI
Vintage Lithotripsy, LLC
Ambulatory Surgical Clinic/Center · San Antonio, TX
NPI number
1689100893
Active
Practice location
5150 Broadway St
San Antonio, TX 32304-5710
Fax (520) 547-1865
Mailing address
6339 E Speedway Blvd
Tucson, AZ 85710-1147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1689100893
Vintage Lithotripsy, LLC's National Provider Identifier is 1689100893, issued on May 8, 2017. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in San Antonio, TX. The record was last updated on May 8, 2017.