MEDICARE: LONE STAR MEDICAL TRANSPORTATION

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1972456945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONE STAR MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	PO BOX 406
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75106-0406
Country	:	US
Telephone Number	:	214-682-3206
Fax Number	:

Provider Business Practice Location Address
First Line	:	1817 JUNIPER LN
Second Line	:
City	:	MIDLOTHIAN
State	:	TX
Zip	:	76065-4623
Country	:	US
Telephone Number	:	214-682-3206
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. VICTOR DESHONE LOGAN
Credential	:
Telephone Number	:	214-682-3480

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “LONE STAR MEDICAL TRANSPORTATION ” Practice Location

Language	Start Address	Practice Location

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