Organization
LONE STAR TMS LLC
Active
Other names
Lone Star TMS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BOLEY MD (PRESIDENT)
(254) 732-0591
Entity
Organization
Contact information
Practice address
305 LONDONDERRY DR, SUITE 10, WACO, TX 76712-7929
(254) 732-0591
(254) 732-0595
Mailing address
305 LONDONDERRY DR, SUITE 10, WACO, TX 76712-7929
(254) 732-0591
(254) 732-0595
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M0668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134185234
NPI
TX
Enumeration date
02/19/2013
Last updated
02/19/2013
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