# LONE STAR EXPEDITIONS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174759385
- **Authorized official:** MS. MARY C, COVINGTON (INSURANCE BILLER)
- **Authorized official phone:** (801) 466-3838

## Contact information

- **Practice address:** 1728 FOREST ROAD 5101, GROVETON, TX 75845
- **Practice address phone:** (936) 831-3133
- **Mailing address:** 1728 FOREST ROAD 5101, GROVETON, TX 75845
- **Mailing address phone:** (936) 831-3133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 822139 | TX | Yes |

## Other

- **Enumeration date:** 06/02/2009
- **Last updated:** 06/02/2009