MEDICARE: LONE STAR DME SUPPLY LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922292325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONE STAR DME SUPPLY LLC

Provider Business Mailing Address
First Line	:	2227 HALTOM RD
Second Line	:	SUITE G
City	:	HALTOM CITY
State	:	TX
Zip	:	76117-5037
Country	:	US
Telephone Number	:	817-838-8940
Fax Number	:	817-838-8342

Provider Business Practice Location Address
First Line	:	2227 HALTOM RD
Second Line	:	SUITE G
City	:	HALTOM CITY
State	:	TX
Zip	:	76117-5037
Country	:	US
Telephone Number	:	817-838-8940
Fax Number	:	817-838-8342

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MIRIAM SULEMA PEREZ
Credential	:
Telephone Number	:	817-838-8940

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	06/07/2025

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