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NPI Code Detail

MEDICARE: LONESTAR PHYSICIANS PLLC

MEDICARE: LONESTAR PHYSICIANS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1215543459
Entity Type Code : Organization
Provider Name (Legal Business Name) : LONESTAR PHYSICIANS PLLC
Provider Business Mailing Address
First Line : 22 MOCKINGBIRD LN
Second Line :
City : DAYTON
State : TX
Zip : 77535-9204
Country : US
Telephone Number : 281-432-9856
Fax Number :
Provider Business Practice Location Address
First Line : 1610 W BAKER RD STE A
Second Line :
City : BAYTOWN
State : TX
Zip : 77521-2279
Country : US
Telephone Number : 281-432-9856
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. KHURRAM I KHAN
Credential : MD
Telephone Number : 281-432-9856
Provider Enumeration Date : 09/22/2020
Last Update Date : 09/22/2020

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Directions to “LONESTAR PHYSICIANS PLLC ” Practice Location

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