Organization
LONE STAR PROVIDER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH MONZON (ADMINISTRATOR)
(210) 616-2230
Entity
Organization
Contact information
Practice address
5309 WURZBACH RD STE 200-1, LEON VALLEY, TX 78238-2444
(210) 852-1664
(210) 465-9000
Mailing address
5309 WURZBACH RD. STE 200-1, LEON VALLEY, TX 78238
(210) 616-2230
(210) 568-4503
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
017875
TX
Other
Enumeration date
11/08/2016
Last updated
03/14/2017
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