Healthcare Provider Details

I. General information

NPI: 1811795974
Provider Name (Legal Business Name): LONE STAR DEVELOPMENTAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3227 RIVER BEND DR
ROSENBERG TX
77471-4878
US

IV. Provider business mailing address

3227 RIVER BEND DR
ROSENBERG TX
77471-4878
US

V. Phone/Fax

Practice location:
  • Phone: 346-606-6201
  • Fax:
Mailing address:
  • Phone: 346-606-6201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA BREAZIEL
Title or Position: PROGRAM MANAGER
Credential:
Phone: 346-606-6201