Organization
LONE STAR SURGICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENOY ABRAHAM GEORGE (OWNER)
(972) 974-2993
Entity
Organization
Contact information
Practice address
2611 TOWNLAKE DR, PROSPER, TX 75078-8979
(972) 974-2993
Mailing address
PO BOX 123, PROSPER, TX 75078-0123
(972) 974-2993
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00482
TX
Other
Enumeration date
07/22/2014
Last updated
05/24/2016
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