MEDICARE: LONESTAR RHEUMATOLOGY, 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
1	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1922768142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONESTAR RHEUMATOLOGY, PLLC

Provider Business Mailing Address
First Line	:	11914 ASTORIA BLVD STE 355
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6076
Country	:	US
Telephone Number	:	713-588-1674
Fax Number	:	713-338-2397

Provider Business Practice Location Address
First Line	:	11914 ASTORIA BLVD STE 355
Second Line	:	SUITE 355
City	:	HOUSTON
State	:	TX
Zip	:	77089-6076
Country	:	US
Telephone Number	:	713-588-1674
Fax Number	:	713-554-2246

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MARTHA CABELLO
Credential	:
Telephone Number	:	832-577-4936

Provider Enumeration Date	:	12/29/2021
Last Update Date	:	12/15/2025

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