Organization
LONE STAR ENT SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH CHANCE RODRIGUEZ M.D. (PRESIDENT)
(512) 268-5282
Entity
Organization
Contact information
Practice address
211 ELMHURST, SUITE E, KYLE, TX 78640
(512) 268-5282
Mailing address
211 ELMHURST, SUITE E, KYLE, TX 78640
(512) 268-5282
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M3373
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040PG
BCBS GRP NUMBER
TX
05
—
187962901
—
TX
Enumeration date
01/31/2007
Last updated
06/11/2008
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