Provider Demographics
NPI:1821024084
Name:LONE STAR BONE AND JOINT CLINIC LLP
Entity Type:Organization
Organization Name:LONE STAR BONE AND JOINT CLINIC LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-833-3330
Mailing Address - Street 1:1065 GESSNER DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6040
Mailing Address - Country:US
Mailing Address - Phone:713-461-5575
Mailing Address - Fax:713-461-7216
Practice Address - Street 1:1065 GESSNER DR
Practice Address - Street 2:SUITE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6040
Practice Address - Country:US
Practice Address - Phone:713-461-5575
Practice Address - Fax:713-461-7216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTAX ID