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General NPI Number Information
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NPI Number | 1457246183
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Entity Type | Organization
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Legal Business Name | LONE STAR TESTOSTERONE & WELLNESS, LLC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 3290 MAIN ST STE 204
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City | FRISCO
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State | TX
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Zip | 75033-4558
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Country | US
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Telephone | 504-237-3174
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Fax |
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Provider Business Mailing Address
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Address Line | 3290 MAIN ST STE 204
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City | FRISCO
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State | TX
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Zip | 75033-4558
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Country | US
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Telephone | 504-237-3174
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/CO-OWNER
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Name | KIMBERLEY LANDRY
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Credential | FNP-C
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Telephone | 504-237-3174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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