LONE STAR PM & R GROUP, PA; NPI #1215113642

Contact Information

LONE STAR PM & R GROUP, PA

8500 VILLAGE DR STE 204
SAN ANTONIO, TX 78217-5510

Phone: 210-222-2606
Fax: 210-222-8410
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Pain Medicine	2081P2900X	25	Physician/Physical Medicine and Rehabilitation

Indicates primary specialty

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NPI Profile & details for LONE STAR PM & R GROUP, PA

NPI Number 1215113642

LBN Legal business name LONE STAR PM & R GROUP, PA

Authorized official PATRICK MULROY - (PHYSICIAN/PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/16/2008

Last updated 11/20/2018 - About 8 years ago

Identifiers

TX	License #	J8327
TX	Medicaid	127473005

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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