LONE STAR SURGICAL GROUP PLLC NPI 1437566452

NPI Information

NPI: 1437566452
Provider Name: LONE STAR SURGICAL GROUP PLLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

CLIA Number: 45D2225593

Address:
2611 TOWNLAKE DR
PROSPER, TX
ZIP 75078
Phone: (972) 974-2993
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LONE STAR SURGICAL GROUP PLLC is a surgical physician assistant in Prosper, TX. LONE STAR SURGICAL GROUP PLLC NPI is 1437566452. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2611 TOWNLAKE DR
PROSPER, TX
ZIP 75078-979
Phone: (972) 974-2993

The provider's authorized official is Benoy Abraham George .
The authorized official title is Owner and has the following contact phone number (972) 974-2993.

The CLIA number assigned to this NPI record is 45D2225593 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2014 and was last updated on 5/24/2016.

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	363AS0400X	Physician Assistant	Surgical	SA00482	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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