# LONE STAR IR LLC

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

## Provider details

- **NPI number:** 1770389371
- **Authorized official:** SHIVANK BHATIA MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (214) 447-0821

## Contact information

- **Practice address:** 4510 MEDICAL CENTER DR STE 207, MCKINNEY, TX 75069-1602
- **Practice address phone:** (214) 447-0821
- **Mailing address:** 3251 E STONEBROOK CIR, DAVIE, FL 33330-1293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2025
- **Last updated:** 05/02/2025