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NPI Code Detail

MEDICARE: ORTHOLONESTAR, PLLC

MEDICARE: ORTHOLONESTAR, 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
1208VP0000XPain Medicine Physician

General Provider Information

NPI Number : 1588502371
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOLONESTAR, PLLC
Provider Business Mailing Address
First Line : 4700 SETON CENTER PKWY STE 115
Second Line :
City : AUSTIN
State : TX
Zip : 78759-5753
Country : US
Telephone Number : 346-440-0645
Fax Number :
Provider Business Practice Location Address
First Line : 21820 KINGSLAND BLVD STE 101A
Second Line :
City : KATY
State : TX
Zip : 77450-2507
Country : US
Telephone Number : 713-370-6411
Fax Number : 855-576-4893
Authorized Official
Title or Position : VP QUALITY & REGULATORY AFFAIRS
Name : JENNIFER KINMAN
Credential :
Telephone Number : 346-447-9004
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ORTHOLONESTAR, PLLC ” Practice Location

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