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Organization

LONE STAR BACK PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWN HENRY DO (OWNER)
(214) 943-9431
Entity
Organization

Contact information

Practice address
1002 MONTGOMERY ST STE 200, FT WORTH, TX 76107-2693
(214) 943-9431
(214) 943-9407
Mailing address
PO BOX 226656, DALLAS, TX 75222-6656
(214) 943-9431
(214) 943-9407

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary

Other

Enumeration date
04/25/2007
Last updated
08/22/2020
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