Organization
LONE STAR MED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKRAM DEKA MD (MEDICAL DIRECTOR)
(480) 221-1162
Entity
Organization
Contact information
Practice address
7400 E OSBORN RD, SCOTTSDALE, AZ 85251-6432
(480) 882-4000
Mailing address
5110 N 44TH ST STE L200, PHOENIX, AZ 85018-1675
(602) 343-2900
(602) 532-7753
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
02/13/2018
Last updated
02/15/2018
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