Organization
LONE STAR HCS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WILSON (PROGRAM ADMINISTRATOR)
(936) 777-2028
Entity
Organization
Contact information
Practice address
305 W MONTGOMERY ST, WILLIS, TX 77378-8678
(936) 777-2028
(936) 756-4602
Mailing address
PO BOX 1751, CONROE, TX 77305-1751
(936) 777-2028
(936) 228-7641
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001007965
HCS PROVIDER
TX
01
—
001029017
HCS PROVIDER
TX
05
—
1538370762
—
TX
Enumeration date
05/28/2007
Last updated
02/28/2023
Update your record
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