Organization
LONE STAR MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL G POLIS CPA. ESQ., (GENERAL COUNSEL)
(626) 922-6821
Entity
Organization
Contact information
Practice address
1100 E GREEN ST, PASADENA, CA 91106-2513
(626) 922-6821
Mailing address
1100 E GREEN ST, PASADENA, CA 91106-2513
(626) 922-6821
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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