Provider Demographics
NPI:1710477781
Name:LONESTAR SPINAL ACCESS SURGEONS
Entity Type:Organization
Organization Name:LONESTAR SPINAL ACCESS SURGEONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:HOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-651-0772
Mailing Address - Street 1:2600 ANDERS LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5921
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17194 PRESTON RD STE 102-283
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1221
Practice Address - Country:US
Practice Address - Phone:940-480-5845
Practice Address - Fax:972-248-6025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty