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NPI Code Detail

MEDICARE: LONE STAR ORTHOPAEDIC AND SPINE SPECIALISTS, PLLC

MEDICARE: LONE STAR ORTHOPAEDIC AND SPINE SPECIALISTS, PLLC
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
1207XS0106XOrthopaedic Hand Surgery Physician
2207L00000XAnesthesiology Physician
3207XS0114XAdult Reconstructive Orthopaedic Surgery Physician
4207XS0117XOrthopaedic Surgery of the Spine Physician
5207XX0005XSports Medicine (Orthopaedic Surgery) Physician
6208VP0000XPain Medicine Physician
7213E00000XPodiatrist
8213ES0103XFoot & Ankle Surgery Podiatrist
9332B00000XDurable Medical Equipment & Medical Supplies
10207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1790538833
Entity Type Code : Organization
Provider Name (Legal Business Name) : LONE STAR ORTHOPAEDIC AND SPINE SPECIALISTS, PLLC
Provider Business Mailing Address
First Line : 215 OLD HIGHWAY 1187
Second Line :
City : BURLESON
State : TX
Zip : 76028-0281
Country : US
Telephone Number : 817-926-2663
Fax Number : 817-293-8860
Provider Business Practice Location Address
First Line : 929 LIPSCOMB ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3173
Country : US
Telephone Number : 817-926-2663
Fax Number : 817-293-8860
Authorized Official
Title or Position : PRESIDENT
Name : GURPREET S BAJAJ
Credential : MD
Telephone Number : 817-926-2663
Provider Enumeration Date : 04/09/2024
Last Update Date : 04/17/2024

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