Organization
LONE STAR PM & R GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MULROY MD (PHYSICIAN/PRESIDENT)
(210) 616-9990
Entity
Organization
Contact information
Practice address
8500 VILLAGE DR STE 204, SAN ANTONIO, TX 78217-5510
(210) 222-2606
(210) 222-8410
Mailing address
8601 VILLAGE DRIVE, STE 118, SAN ANTONIO, TX 78205-5509
(210) 222-2606
(210) 222-8410
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
J8327
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127473005
—
TX
Enumeration date
01/16/2008
Last updated
11/20/2018
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