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Organization

ORTHOLONESTAR, PLLC

Active
Parent organization
ORTHOLONESTAR, PLLC
Other names
Legacy Orthopedics
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOLONESTAR, PLLC
Authorized official
JENNIFER KINMAN (VP QUALITY & REGULATROY AFFAIRS)
(512) 415-8346
Entity
Organization

Contact information

Practice address
963 STATE HIGHWAY 121 STE 1150, ALLEN, TX 75013-6034
(469) 322-1400
Mailing address
4700 SETON CENTER PKWY STE 115, AUSTIN, TX 78759-5753
(346) 440-0645

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
08/13/2025
Last updated
08/13/2025
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