Organization
LONE STAR COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
LONE STAR COMMUNITY HEALTH CENTER, INC.
Other names
Lone Star Family Health Center - Willis
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONE STAR COMMUNITY HEALTH CENTER, INC.
Authorized official
KAREN HARWELL (CHIEF EXECUTIVE OFFICER)
(936) 539-4004
Entity
Organization
Contact information
Practice address
9516 FM 1097 RD W STE 140, WILLIS, TX 77318-4976
(936) 539-4004
(936) 224-4205
Mailing address
605 S CONROE MEDICAL DR, CONROE, TX 77304-4722
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3526378-01
—
TX
Enumeration date
11/04/2015
Last updated
07/14/2021
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