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Organization
LONESTAR SURGICAL SPECIALIST, PA
Active
Organization
LONESTAR SURGICAL SPECIALIST, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL K MORRIS DO (PRESIDENT)
(940) 627-8825
Entity
Organization
Contact information
Practice address
2250 S FM 51, SUITE #900, DECATUR, TX 76234-3766
(970) 627-8825
(940) 234-7004
Mailing address
PO BOX 1080, DECATUR, TX 76234-6080
(940) 627-8825
(940) 234-7004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034MU
BCBSTX
TX
01
—
020051776
RAILROAD MEDICARE
TX
05
—
176323701
—
TX
01
—
DG9003
RAILROAD
TX
Enumeration date
06/20/2006
Last updated
06/06/2019
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