Provider Demographics
NPI:1134162746
Name:LONE STAR HMA L P
Entity type:Organization
Organization Name:LONE STAR HMA L P
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR VP AND GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRY
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:239-598-3176
Mailing Address - Street 1:3500 INTERSTATE 30
Mailing Address - Street 2:AT MOTLEY DR
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-2696
Mailing Address - Country:US
Mailing Address - Phone:972-270-3300
Mailing Address - Fax:
Practice Address - Street 1:3500 INTERSTATE 30
Practice Address - Street 2:AT MOTLEY DR
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-2696
Practice Address - Country:US
Practice Address - Phone:972-270-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
45T688Medicare Oscar/Certification