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Organization
LONESTAR REHABILITATION
Active
Organization
LONESTAR REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL DEL BOSQUE (OWNER)
(469) 826-4294
Entity
Organization
Contact information
Practice address
517 N CARRIER PKWY STE E, GRAND PRAIRIE, TX 75050-5464
(214) 677-0639
Mailing address
517 N CARRIER PKWY STE E, GRAND PRAIRIE, TX 75050-5464
(214) 677-0639
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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