Organization Active NPI

Lone Star MTC, Inc.

  • Non-emergency Medical Transport (VAN)
  • Round Rock, TX
National Provider Identifier
1093230716
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
LONE STAR MTC, INC.
Practice address
896 Summit St Ste 106
Round Rock, TX 78664-4370
Phone
(512) 323-0160
Fax
(512) 323-0165
NPI assigned
Aug 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Soon Burnam
Title
Vice President
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

896 Summit St Ste 106
Round Rock, TX 78664-4370

Mailing address

896 Summit St Ste 106
Round Rock, TX 78664-4370
Phone (512) 323-0160

Other identifiers 1

IdentifierTypeStateIssuer
3745580MedicaidTX

Other names 1

  • Lone Star Medical Transportation Company Doing business as

National Provider Directory

National Provider Directory

Locations

7801 N Lamar Blvd
Ste D99
Austin, TX 78752

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1093230716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 SUMMIT ST STE 106",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644370",
            "telephone_number": "512-323-0160",
            "fax_number": "512-323-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 SUMMIT ST STE 106",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644370",
            "telephone_number": "512-323-0160",
            "fax_number": "512-323-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR MTC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3745580",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Medical Transportation Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.