MEDICARE: LONE STAR VEIN CENTERS, P.A.

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
1	208600000X	Surgery Physician	H3122	TX

General Provider Information

NPI Number	:	1285027326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONE STAR VEIN CENTERS, P.A.

Provider Business Mailing Address
First Line	:	17904 W LAKE HOUSTON PKWY
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-0003
Country	:	US
Telephone Number	:	832-762-3031
Fax Number	:	866-722-4293

Provider Business Practice Location Address
First Line	:	17904 W LAKE HOUSTON PKWY STE 202
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-0002
Country	:	US
Telephone Number	:	832-762-3031
Fax Number	:	832-810-2630

Authorized Official
Title or Position	:	OWNER PHYSICIAN
Name	:	PETER B MORGAN
Credential	:
Telephone Number	:	936-548-8569

Provider Enumeration Date	:	03/13/2015
Last Update Date	:	04/06/2026

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