Organization
LONESTAR MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L FACTOR (PRESIDENT)
(855) 200-8262
Entity
Organization
Contact information
Practice address
301 YAMATO RD, SUITE 1100, BOCA RATON, FL 33431-4917
(855) 200-8262
(855) 400-8262
Mailing address
301 YAMATO RD, SUITE 301, BOCA RATON, FL 33431-4917
(855) 200-8262
(855) 400-8262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J7481
TX
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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