Organization
ORTHOLONESTAR, PLLC
Active
Parent organization
ORTHOLONESTAR, PLLC
Other names
Fondren Orthopedic Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOLONESTAR, PLLC
Authorized official
JENNIFER KINMAN (VP QUALITY & REGULATORY AFFAIRS)
(512) 415-8346
Entity
Organization
Contact information
Practice address
2525 W BELLFORT AVE STE 150, HOUSTON, TX 77054-5099
(713) 349-9335
(713) 349-8433
Mailing address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-3380
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
07/06/2023
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