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Organization
LONE STAR ENT SPECIALISTS PA
Active
Organization
LONE STAR ENT SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH CHANCE RODRIGUEZ M.D. (PRESIDENT)
(512) 268-5282
Entity
Organization
Contact information
Practice address
211 ELMHURST, SUITE E, KYLE, TX 78640
(512) 268-5282
Mailing address
211 ELMHURST, SUITE E, KYLE, TX 78640
(512) 268-5282
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M3373
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040PG
BCBS GRP NUMBER
TX
05
—
187962901
—
TX
Enumeration date
01/31/2007
Last updated
06/11/2008
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