Healthcare Provider Details

I. General information

NPI: 1528558236
Provider Name (Legal Business Name): LONE STAR INTENSIVISTS AT GULF COAST, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2018
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W MEDICAL CENTER BLVD
WEBSTER TX
77598-4220
US

IV. Provider business mailing address

2000 HEALTH PARK DR
BRENTWOOD TN
37027-4692
US

V. Phone/Fax

Practice location:
  • Phone: 281-332-2511
  • Fax:
Mailing address:
  • Phone: 615-373-7406
  • Fax: 866-346-1626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: CARLOS MOAS
Title or Position: PRESIDENT
Credential:
Phone: 786-494-5154