Healthcare Provider Details

I. General information

NPI: 1922768142
Provider Name (Legal Business Name): LONESTAR RHEUMATOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2021
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11914 ASTORIA BLVD STE 355 SUITE 355
HOUSTON TX
77089-6076
US

IV. Provider business mailing address

11914 ASTORIA BLVD STE 355
HOUSTON TX
77089-6076
US

V. Phone/Fax

Practice location:
  • Phone: 713-588-1674
  • Fax: 713-554-2246
Mailing address:
  • Phone: 713-588-1674
  • Fax: 713-338-2397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARTHA CABELLO
Title or Position: OFFICE MANAGER
Credential:
Phone: 832-577-4936