GREAT LAKES LASER SERVICES, LP – NPI #1184706541
Clinic/Center

GREAT LAKES LASER SERVICES, LP is an AHC clinic located in WEST LAKE HILLS, TX. NPPES has assigned the NPI number 1184706541 to GREAT LAKES LASER SERVICES, LP on October 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QL0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Lithotripsy

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREAT LAKES LASER SERVICES, LP below.

NPI Profile for
GREAT LAKES LASER SERVICES, LP

NPI Number
1184706541
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREAT LAKES LASER SERVICES, LP
Primary location
1301 S CAPITAL OF TEXAS HWY
SUITE B200
WEST LAKE HILLS, TX 78746-6574
Phone: (512) 314-4331 Fax:
Mailing address
PO BOX 847324
DALLAS, TX 75284-7324
Phone: Fax:
Organization Subpart
No
Authorized Official
THERESA DAVIS
DIRECTOR, CBO
Phone: (512) 314-4331
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QL0400X
- Clinic/Center / Lithotripsy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.