Healthcare Provider Details

I. General information

NPI: 1336734011
Provider Name (Legal Business Name): LONESTAR RESEARCH PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 03/05/2021
Certification Date: 03/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4780 SWEETWATER BLVD STE 100
SUGAR LAND TX
77479-3163
US

IV. Provider business mailing address

12848 QUEENSBURY LN STE 208
HOUSTON TX
77024-4163
US

V. Phone/Fax

Practice location:
  • Phone: 281-491-0094
  • Fax:
Mailing address:
  • Phone: 913-689-9966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246ZE0500X
TaxonomyEEG Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTONY VUONG GROVE
Title or Position: MEMBER
Credential:
Phone: 913-689-9966