Organization
LONE STAR TMS LLC
Active
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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