# LONESTAR SURGICAL SPECIALIST, PA

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

## Provider details

- **NPI number:** 1588600621
- **Authorized official:** DR. DANIEL K MORRIS DO (PRESIDENT)
- **Authorized official phone:** (940) 627-8825

## Contact information

- **Practice address:** 2250 S FM 51, SUITE \#900, DECATUR, TX 76234-3766
- **Practice address phone:** (970) 627-8825
- **Practice address fax:** (940) 234-7004
- **Mailing address:** PO BOX 1080, DECATUR, TX 76234-6080
- **Mailing address phone:** (940) 627-8825
- **Mailing address fax:** (940) 234-7004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 06/06/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0034MU | BCBSTX | TX |
| 01 | — | 020051776 | RAILROAD MEDICARE | TX |
| 05 | — | 176323701 | — | TX |
| 01 | — | DG9003 | RAILROAD | TX |