Organization
ORTHOLONESTAR, PLLC
Active
Parent organization
ORTHOLONESTAR, PLLC
Other names
Texas Orthopedics, Sports & Rehabilitation Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOLONESTAR, PLLC
Authorized official
JENNIFER KINMAN (VP QUALITY & REGULATORY AFFAIRS)
(512) 415-8346
Entity
Organization
Contact information
Practice address
4700 CAMPUS VILLAGE DRIVE, STE 150, ROUND ROCK, TX 78665-1122
(512) 439-1000
(512) 439-1998
Mailing address
4700 SETON CENTER PKWY STE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1085
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/11/2023
Last updated
07/18/2023
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