Organization
LONE STAR SPINE INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN HENRY DO (AUTHORIZED OFFICIAL)
(817) 429-4545
Entity
Organization
Contact information
Practice address
3600 W 7TH ST STE A, FORT WORTH, TX 76107-2534
(817) 429-4545
(817) 429-4547
Mailing address
729 W BEDFORD-EULESS RD STE 206, HURST, TX 76053
(817) 288-0084
(817) 445-1039
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
L2316
TX
Other
Enumeration date
05/17/2017
Last updated
07/21/2022
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