Provider Demographics
NPI:1225293541
Name:LONE STAR MEDICAL EQUIPMENT LTD
Entity Type:Organization
Organization Name:LONE STAR MEDICAL EQUIPMENT LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:SHEPPERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-805-8540
Mailing Address - Street 1:12903 AGENCY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-3478
Mailing Address - Country:US
Mailing Address - Phone:210-805-8540
Mailing Address - Fax:210-805-8354
Practice Address - Street 1:12903 AGENCY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-3478
Practice Address - Country:US
Practice Address - Phone:210-805-8540
Practice Address - Fax:210-805-8354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0042983332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier