Provider Demographics
NPI:1922566363
Name:LONE STAR HOUSE CALL PHYSICIANS, LLC
Entity Type:Organization
Organization Name:LONE STAR HOUSE CALL PHYSICIANS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:580-461-1606
Mailing Address - Street 1:150 SETTLEMENT DR STE C
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-9662
Mailing Address - Country:US
Mailing Address - Phone:866-323-3561
Mailing Address - Fax:866-584-8524
Practice Address - Street 1:150 SETTLEMENT DR STE C
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-9662
Practice Address - Country:US
Practice Address - Phone:866-323-3561
Practice Address - Fax:866-584-8524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty