NPIMap

Organization Active NPI

Lone Star Primary Care, LLC

  • Primary Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1033563127
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
PA03903 Issued in TX
Legal business name
LONE STAR PRIMARY CARE, LLC
Practice address
5050 Quorum Dr
Dallas, TX 75254-7564
Phone
(469) 531-2000
NPI assigned
Apr 15, 2016
Last updated
Apr 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jaelynn Goodman
Title
Billing
Phone
(469) 531-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X PA03903 TX Primary

Addresses

Primary practice location

5050 Quorum Dr
Dallas, TX 75254-7564

Mailing address

5050 Quorum Dr
Dallas, TX 75254-7564

National Provider Directory

National Provider Directory
Tax ID family
Elite Primary Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5050 Quorum Dr
Dallas, TX 75254
Phone (469) 373-3991

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1033563127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 QUORUM DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 QUORUM DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547564",
            "telephone_number": "469-531-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JAELYNN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "469-531-2000"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "PA03903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.