MEDICARE: LONESTAR MEDICAL EQUIPMENT & SUPPLIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1568799765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONESTAR MEDICAL EQUIPMENT & SUPPLIES

Provider Business Mailing Address
First Line	:	PO BOX 741912
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77274-1912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9898 BISSONNET ST STE 583
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8256
Country	:	US
Telephone Number	:	281-799-2823
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALVIN ELLIOTT
Credential	:
Telephone Number	:	281-799-2823

Provider Enumeration Date	:	11/09/2009
Last Update Date	:	11/09/2009

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