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General NPI Number Information
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NPI Number | 1386046936
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Entity Type | Organization
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Legal Business Name | LONE STAR MEDPED PLLC
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Dates
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Enumeration Date | 09/25/2014
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 6033 AIRLINE DR SUITE C
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City | HOUSTON
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State | TX
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Zip | 77076-4209
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Country | US
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Telephone | 713-694-2808
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Fax | 713-694-2833
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Provider Business Mailing Address
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Address Line | 6033 AIRLINE DR STE C
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City | HOUSTON
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State | TX
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Zip | 77076-4243
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Country | US
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Telephone | 713-694-2808
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Fax | 713-694-2833
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Authorized Official
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Title or Position | OWNER
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Name | PRAYMAL THAKRAR
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Credential | M.D
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Telephone | 713-694-2808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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