Organization
LONE STAR EXPEDITIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY C, COVINGTON (INSURANCE BILLER)
(801) 466-3838
Entity
Organization
Contact information
Practice address
1728 FOREST ROAD 5101, GROVETON, TX 75845
(936) 831-3133
Mailing address
1728 FOREST ROAD 5101, GROVETON, TX 75845
(936) 831-3133
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
822139
TX
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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