Provider Demographics
NPI:1972145258
Name:LONESTAR OXYGEN TESTING LLC
Entity Type:Organization
Organization Name:LONESTAR OXYGEN TESTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLCLASURE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:972-723-5857
Mailing Address - Street 1:2821 TIMBER ROCK LN
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-7059
Mailing Address - Country:US
Mailing Address - Phone:972-723-5857
Mailing Address - Fax:972-775-3228
Practice Address - Street 1:2821 TIMBER ROCK LN
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-7059
Practice Address - Country:US
Practice Address - Phone:972-723-5857
Practice Address - Fax:972-775-3228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-08
Last Update Date:2020-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Multi-Specialty
No2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary DiagnosticsGroup - Multi-Specialty