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General NPI Number Information
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NPI Number | 1366376584
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Entity Type | Organization
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Legal Business Name | LONE STAR CLINIC MANAGEMENT LLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 422 S HILLCREST DR
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-3661
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Country | US
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Telephone | 903-220-0970
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Fax | 903-885-2989
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Provider Business Mailing Address
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Address Line | 422 S HILLCREST DR
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-3661
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Country | US
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Telephone | 903-220-0970
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Fax | 903-885-2989
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | SHERRI SMITH
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Credential |
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Telephone | 903-440-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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