Provider Demographics
NPI:1801366778
Name:LONESTAR MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:LONESTAR MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-773-5410
Mailing Address - Street 1:719 STARLIGHT PASS
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:TX
Mailing Address - Zip Code:75032-5986
Mailing Address - Country:US
Mailing Address - Phone:214-773-5410
Mailing Address - Fax:
Practice Address - Street 1:362 OAKS TRL STE 142
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-8021
Practice Address - Country:US
Practice Address - Phone:214-773-5410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX15441490OtherDRIVERS LICENSE