Organization
LONE STAR PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAELYNN GOODMAN (BILLING)
(469) 531-2000
Entity
Organization
Contact information
Practice address
5050 QUORUM DR, DALLAS, TX 75254-7564
(469) 531-2000
Mailing address
5050 QUORUM DR, DALLAS, TX 75254-7564
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
PA03903
TX
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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