Organization
LONE STAR MTC, INC.
Active
Other names
Lone Star Medical Transportation Company
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (VICE PRESIDENT)
(949) 540-1249
Entity
Organization
Contact information
Practice address
896 SUMMIT ST STE 106, ROUND ROCK, TX 78664-4370
(512) 323-0160
(512) 323-0165
Mailing address
896 SUMMIT ST STE 106, ROUND ROCK, TX 78664-4370
(512) 323-0160
(512) 323-0165
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3745580
—
TX
Enumeration date
08/03/2017
Last updated
02/20/2024
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