Provider Demographics
NPI:1356701387
Name:LONE STAR HEALTH SERVICES, PLLC
Entity type:Organization
Organization Name:LONE STAR HEALTH SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPARZA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-602-1612
Mailing Address - Street 1:6113 TORIBIO DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78043-5116
Mailing Address - Country:US
Mailing Address - Phone:956-602-1612
Mailing Address - Fax:956-602-1211
Practice Address - Street 1:6113 TORIBIO DR
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-5116
Practice Address - Country:US
Practice Address - Phone:956-602-1612
Practice Address - Fax:956-602-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXXXXXXX301Medicaid