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
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1891668364
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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11520 NORTHPOINTE BLVD
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77377-6460
Country	:	US
Telephone Number	:	281-955-7577
Fax Number	:	281-955-5875

Authorized Official
Title or Position	:	VP QUALITY & REGULATORY AFFAIRS
Name	:	JENNIFER KINMAN
Credential	:
Telephone Number	:	346-447-9004

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	11/11/2025

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Directions to “ORTHOLONESTAR, PLLC ” Practice Location

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