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NPI 1982703815

NPI 1982703815 : LONE STAR COMMUNITY HEALTH CENTER, INC. : CONROE, TX

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General NPI Number Information
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    NPI Number           |    1982703815
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    Entity Type          |    Organization 
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    Legal Business Name  |    LONE STAR COMMUNITY HEALTH CENTER, INC. 
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Dates
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    Enumeration Date     |    09/21/2006
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    Last Update Date     |    07/22/2025
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Provider Practice Location Address
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    Address Line         |    605 S CONROE MEDICAL DR 
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    City                 |    CONROE
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    State                |    TX
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    Zip                  |    77304-4722
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    Country              |    US
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    Telephone            |    936-523-5227
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    Fax                  |    936-539-4019
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Provider Business Mailing Address
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    Address Line         |    605 S CONROE MEDICAL DR 
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    City                 |    CONROE
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    State                |    TX
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    Zip                  |    77304-4722
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    Country              |    US
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    Telephone            |    936-523-5227
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    Fax                  |    936-539-4019
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |     KAREN  HARWELL 
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    Credential           |    
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    Telephone            |    936-539-4004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0002X
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    Taxonomy Name        |    Clinic Pharmacy
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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        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    23098
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    License Number State |    TX
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