LONE STAR KIDS CARE NPI 1134675366

NPI Information

NPI: 1134675366
Provider Name: LONE STAR KIDS CARE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2116465

Address:
1256 W EXCHANGE PKWY STE 200
ALLEN, TX
ZIP 75013
Phone: (972) 649-5480
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LONE STAR KIDS CARE is a primary care clinic center in Allen, TX. LONE STAR KIDS CARE NPI is 1134675366. The provider is registered as an organization entity type.

The provider's business location address is:

1256 W EXCHANGE PKWY STE 200
ALLEN, TX
ZIP 75013-049
Phone: (972) 649-5480
Fax: (469) 854-6664

The provider's authorized official is Kimberly Lynn Smith .
The authorized official title is Owner/physician and has the following contact phone number (972) 649-5480.

The CLIA number assigned to this NPI record is 45D2116465 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2016 and was last updated on 8/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	M1354	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1976433	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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