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NPI 1407717762

NPI 1407717762 : ORTHOLONESTAR, PLLC : CYPRESS, TX

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General NPI Number Information
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    NPI Number           |    1407717762
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORTHOLONESTAR, PLLC 
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Dates
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    Enumeration Date     |    11/18/2025
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    Last Update Date     |    11/18/2025
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Provider Practice Location Address
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    Address Line         |    20203 BRIDGELAND CREEK PARKWAY STE 200
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77433-0812
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    Country              |    US
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    Telephone            |    281-955-2650
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    Fax                  |    281-955-5875
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Provider Business Mailing Address
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    Address Line         |    11800 FM 1960 RD W 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77065-3840
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    Country              |    US
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    Telephone            |    281-955-7577
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    Fax                  |    281-955-5875
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Authorized Official
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    Title or Position    |    VP QUALITY & REGULATORY AFFAIRS
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    Name                 |     JENNIFER  KINMAN 
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    Credential           |    
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    Telephone            |    346-447-9004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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