Organization
LONE STAR SURGICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBALAL MAKWANA (OWNER)
(281) 225-4013
Entity
Organization
Contact information
Practice address
13010 RYAN EAGLES DR, HOUSTON, TX 77044-5077
(281) 225-4013
Mailing address
PO BOX 14244, HUMBLE, TX 77347-4244
(281) 225-4013
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LSA0181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LSA0181
LICENSED SURGICAL ASSIST
TX
Enumeration date
08/05/2009
Last updated
08/05/2009
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