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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
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1760099048
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOLONESTAR, PLLC
Provider Business Mailing Address
First Line : 8210 WALNUT HILL LN STE 130
Second Line :
City : DALLAS
State : TX
Zip : 75231-4418
Country : US
Telephone Number : 214-750-1207
Fax Number : 214-750-8504
Provider Business Practice Location Address
First Line : 6020 W PARKER RD STE 240
Second Line :
City : PLANO
State : TX
Zip : 75093-0004
Country : US
Telephone Number : 972-378-1438
Fax Number : 972-378-1432
Authorized Official
Title or Position : CEO
Name : JENNIFER KINMAN
Credential :
Telephone Number : 512-439-1000
Provider Enumeration Date : 09/30/2020
Last Update Date : 09/30/2020

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Directions to “ORTHOLONESTAR, PLLC ” Practice Location

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