MEDICARE: LONE STAR ELITE CARDIOTHORACIC SPECIALISTS, 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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

General Provider Information

NPI Number	:	1639054604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONE STAR ELITE CARDIOTHORACIC SPECIALISTS, PLLC

Provider Business Mailing Address
First Line	:	2308 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1154
Country	:	US
Telephone Number	:	713-568-9281
Fax Number	:	832-995-0346

Provider Business Practice Location Address
First Line	:	2308 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1154
Country	:	US
Telephone Number	:	713-568-9281
Fax Number	:	832-995-0346

Authorized Official
Title or Position	:	CEO
Name	:	DR. SCOTT E. OLSSON
Credential	:	MD
Telephone Number	:	832-654-4285

Provider Enumeration Date	:	08/08/2025
Last Update Date	:	11/12/2025

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