Provider Demographics
NPI:1134954498
Name:LONE STAR SPINAL CARE LLC
Entity type:Organization
Organization Name:LONE STAR SPINAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:346-978-9485
Mailing Address - Street 1:506 HONEA EGYPT RD STE 409
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-2568
Mailing Address - Country:US
Mailing Address - Phone:346-978-9485
Mailing Address - Fax:
Practice Address - Street 1:506 HONEA EGYPT RD STE 409
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-2568
Practice Address - Country:US
Practice Address - Phone:346-978-9485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty