Organization
LONE STAR LAP-BAND, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN GASTON (INSURANCE DEPARTMENT)
(972) 772-4333
Entity
Organization
Contact information
Practice address
8301 LAKEVIEW PKWY, STE. 210, ROWLETT, TX 75088-9320
(972) 412-6500
(972) 412-6415
Mailing address
PO BOX 2512, ROCKWALL, TX 75087-9012
(972) 772-4333
(972) 772-4005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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