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NPI Code Detail

MEDICARE: LONE STAR GOODLIFE, PLLC

MEDICARE: LONE STAR GOODLIFE, 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
1111N00000XChiropractor

General Provider Information

NPI Number : 1770350449
Entity Type Code : Organization
Provider Name (Legal Business Name) : LONE STAR GOODLIFE, PLLC
Provider Business Mailing Address
First Line : 1930 MISTY FIELD DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-3176
Country : US
Telephone Number : 310-621-7878
Fax Number :
Provider Business Practice Location Address
First Line : 3527 HIGHWAY 6 STE 190
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-4521
Country : US
Telephone Number : 310-621-7878
Fax Number :
Authorized Official
Title or Position : SOLE MEMBER
Name : DR. LOUIS WOELFEL III
Credential : DC
Telephone Number : 310-621-7878
Provider Enumeration Date : 12/04/2023
Last Update Date : 12/04/2023

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Directions to “LONE STAR GOODLIFE, PLLC ” Practice Location

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