Provider Demographics
NPI:1518942374
Name:LONE STAR ONCOLOGY CONSULTANTS, PA
Entity Type:Organization
Organization Name:LONE STAR ONCOLOGY CONSULTANTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEBBY
Authorized Official - Middle Name:E
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-338-3315
Mailing Address - Street 1:11044 RESEARCH BLVD
Mailing Address - Street 2:D400
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5263
Mailing Address - Country:US
Mailing Address - Phone:512-343-2103
Mailing Address - Fax:512-343-7086
Practice Address - Street 1:11044 RESEARCH BLVD
Practice Address - Street 2:D400
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5263
Practice Address - Country:US
Practice Address - Phone:512-343-2103
Practice Address - Fax:512-343-7086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00518RMedicare ID - Type Unspecified
TX00517RMedicare ID - Type Unspecified