NPI Information
- NPI:
1265075618
- Provider Name:
TEXAS LONE STAR PHYSICIAN SERVICES, PLLC
- Classification:
Family Medicine - 207Q00000X
- Entity Type:
Organization
- CLIA Number: 45D2187805
- Address:
2005 E BUSTAMANTE ST
LAREDO, TX
ZIP 78041
- Phone:
(956) 753-5353
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Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 207Q00000X | Family Medicine | | | | Yes |