Organization
LONESTAR HOUSECALL PHYSICIANS PLLC
Active
Organization
LONESTAR HOUSECALL PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBAYO IDOWU M.D (MEDICAL DIRECTOR)
(214) 951-0009
Entity
Organization
Contact information
Practice address
8150 BROOKRIVER DR STE 303, DALLAS, TX 75247-4055
(214) 951-0009
(214) 951-0060
Mailing address
8150 BROOKRIVER DR STE 303, DALLAS, TX 75247-4055
(214) 951-0009
(214) 951-0060
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111880404
—
TX
01
—
K06009
LICENSE
TX
Enumeration date
07/22/2011
Last updated
07/22/2011
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