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Organization

LONE STAR PROCEDURALIST, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY M MCAULIFF M.D. (DIRECTOR)
(469) 931-0684
Entity
Organization

Contact information

Practice address
3013 E RENNER RD STE 120, RICHARDSON, TX 75082-3577
(469) 931-0684
Mailing address
3013 E RENNER RD STE 120, RICHARDSON, TX 75082-3577
(940) 781-8642
(469) 931-0712

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
10/01/2013
Last updated
10/05/2023
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