1871093195 NPI number — LONE STAR MED PC

Table of content: (NPI 1871093195)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871093195 NPI number — LONE STAR MED PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LONE STAR MED PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871093195
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/15/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5110 N 44TH ST STE L200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85018-1675
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-343-2900
Provider Business Mailing Address Fax Number:
602-532-7753

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7400 E OSBORN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85251-6432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-882-4000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/13/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DEKA
Authorized Official First Name:
VIKRAM
Authorized Official Middle Name:
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
480-221-1162

Provider Taxonomy Codes

  • Taxonomy code: 2086S0127X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)