Provider Demographics
NPI:1922768142
Name:LONESTAR RHEUMATOLOGY, PLLC
Entity Type:Organization
Organization Name:LONESTAR RHEUMATOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CABELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-577-4936
Mailing Address - Street 1:11914 ASTORIA BLVD STE 355
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6076
Mailing Address - Country:US
Mailing Address - Phone:713-588-1674
Mailing Address - Fax:713-338-2397
Practice Address - Street 1:11914 ASTORIA BLVD STE 355
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6076
Practice Address - Country:US
Practice Address - Phone:713-588-1674
Practice Address - Fax:713-338-2397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-29
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty