Provider Demographics
NPI:1932697604
Name:LONE STAR MOBILE MED PLLC
Entity Type:Organization
Organization Name:LONE STAR MOBILE MED PLLC
Other - Org Name:LONE STAR TOTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:806-283-5844
Mailing Address - Street 1:PO BOX 64154
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79464-4154
Mailing Address - Country:US
Mailing Address - Phone:806-283-5844
Mailing Address - Fax:
Practice Address - Street 1:6102 82ND ST STE 13B
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-0840
Practice Address - Country:US
Practice Address - Phone:806-283-5844
Practice Address - Fax:806-553-7337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-27
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty