Organization
LONESTAR WOUND CARE AND HYPERBARICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN HART (MANAGING MEMBER)
(817) 583-0744
Entity
Organization
Contact information
Practice address
6161 N STATE HIGHWAY 161 STE 305, IRVING, TX 75038-2220
(817) 583-0744
Mailing address
14850 MONTFORT DR STE 181, DALLAS, TX 75254-1450
(214) 715-6526
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
09/13/2018
Last updated
01/29/2019
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