45D2162384 CLIA NUMBER - LONE STAR MEDICAL MANAGEMENT LLC

Laboratory Demographics

CLIA Number: 45D2162384

Facility Name: LONE STAR MEDICAL MANAGEMENT LLC

Facility Address:
17115 RED OAK DRIVE, SUITE 216
HOUSTON, TX
ZIP 77090
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Facility Phone Number: 832 260-0996

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1952334633

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name	Field Value
CLIA Number	45D2162384
LAB Type	Practitioner Other
Facility Name	LONE STAR MEDICAL MANAGEMENT LLC
Street	17115 RED OAK DRIVE, SUITE 216
City	HOUSTON
State	TX
ZIP	77090
Phone	832 260-0996
CertificateType	4
CertificateEffectiveDate	2/21/2023
CertificateExpirationDate	2/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024