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Organization

LONESTAR SURGICAL SPECIALIST, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL K MORRIS DO (PRESIDENT)
(940) 627-8825
Entity
Organization

Contact information

Practice address
2250 S FM 51, SUITE #900, DECATUR, TX 76234-3766
(970) 627-8825
(940) 234-7004
Mailing address
PO BOX 1080, DECATUR, TX 76234-6080
(940) 627-8825
(940) 234-7004

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2086S0129X
Vascular Surgery Physician
Primary
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0034MU
BCBSTX
TX
01
020051776
RAILROAD MEDICARE
TX
05
176323701
TX
01
DG9003
RAILROAD
TX
Enumeration date
06/20/2006
Last updated
06/06/2019
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