Organization
ORTHOLONESTAR, PLLC
Active
Parent organization
ORTHOLONESTAR, PLLC
Other names
Azalea Orthopedics & Sports Medicine Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOLONESTAR, PLLC
Authorized official
ADAM MAURER (COO)
(713) 794-3352
Entity
Organization
Contact information
Practice address
3816 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2011
(903) 939-7500
(903) 939-7728
Mailing address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 939-7500
(903) 939-7728
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
01/03/2022
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