MEDICARE: LONESTAR TRANSIT NETWORK LLC

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	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1548008410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONESTAR TRANSIT NETWORK LLC

Provider Business Mailing Address
First Line	:	2330 E FREDDY GONZALEZ DR UNIT 2075
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78542-3883
Country	:	US
Telephone Number	:	956-270-0842
Fax Number	:

Provider Business Practice Location Address
First Line	:	2330 E FREDDY GONZALEZ DR UNIT 2075
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78542-3883
Country	:	US
Telephone Number	:	956-270-0842
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRYAN MINJARES - SANCHEZ
Credential	:
Telephone Number	:	956-270-0842

Provider Enumeration Date	:	07/16/2024
Last Update Date	:	07/23/2024

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Directions to “LONESTAR TRANSIT NETWORK LLC ” Practice Location

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