Provider Demographics
NPI:1104835552
Name:LONESTAR DME
Entity Type:Organization
Organization Name:LONESTAR DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARISSA
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-519-7393
Mailing Address - Street 1:1928 N CONWAY AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-2938
Mailing Address - Country:US
Mailing Address - Phone:956-519-7393
Mailing Address - Fax:956-583-7319
Practice Address - Street 1:1928 N CONWAY AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-2938
Practice Address - Country:US
Practice Address - Phone:956-519-7393
Practice Address - Fax:956-583-7319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies