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Organization

ORTHOLONESTAR, PLLC

Active
Parent organization
ORTHOLONESTAR, PLLC
Other names
WB Carrell Memorial Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOLONESTAR, PLLC
Authorized official
JENNIFER KINMAN (CEO)
(512) 439-1000
Entity
Organization

Contact information

Practice address
3800 GAYLORD PKWY STE 710, FRISCO, TX 75034-9635
(214) 220-2468
(214) 397-1551
Mailing address
9301 NORTH CENTRAL EXPY, TOWER 1, STE 500, DALLAS, TX 75231
(214) 220-2468
(214) 397-1551

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
09/28/2020
Last updated
09/28/2020
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