=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861349631
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LONE STAR PREMIER IMAGING, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/11/2026
-----------------------------------------------------
Last Update Date | 03/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4215 JOE RAMSEY BLVD E
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75401-7852
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-408-5000
-----------------------------------------------------
Fax | 906-408-1609
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 450 S DENTON TAP RD UNIT 127
-----------------------------------------------------
City | COPPELL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75019-7103
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-991-9950
-----------------------------------------------------
Fax | 972-991-4026
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MURTHY CHAMARTHY
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 649-339-3564
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2085R0202X
-----------------------------------------------------
Taxonomy Name | Diagnostic Radiology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------