Organization
LJP NORTHSTAR
Active
Other names
Lone Star Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS PATINO D.C. (OWNER)
(956) 454-7571
Entity
Organization
Contact information
Practice address
100 S SAN ANTONIO ST, RIO GRANDE CITY, TX 78582-4318
(956) 487-7246
Mailing address
100 S SAN ANTONIO ST, RIO GRANDE CITY, TX 78582-4318
(956) 487-7246
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
F004515
TX
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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