Organization Active NPI

Lone Star Med Spa and Health LLC

  • Multi-Specialty Clinic/Center
  • Keller, TX
National Provider Identifier
1093530347
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LONE STAR MED SPA AND HEALTH LLC
Practice address
1710 Rufe Snow Dr Ste 120
Keller, TX 76248-5501
Phone
(817) 600-6925
Fax
(541) 314-9619
NPI assigned
Nov 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Mr. Kevin Isbell, APRNNPI 1629609987
Title
Owner/Practitioner
Phone
(817) 600-6925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1710 Rufe Snow Dr Ste 120
Keller, TX 76248-5501

Mailing address

1710 Rufe Snow Dr Ste 120
Keller, TX 76248-5501
Phone (817) 600-6925

National Provider Directory

National Provider Directory

Locations

1710 Rufe Snow Dr
Ste 120
Keller, TX 76248
Phone (214) 547-7234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1093530347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 RUFE SNOW DR STE 120",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485501",
            "telephone_number": "817-600-6925",
            "fax_number": "541-314-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 RUFE SNOW DR STE 120",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485501",
            "telephone_number": "817-600-6925",
            "fax_number": "541-314-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR MED SPA AND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "ISBELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "817-600-6925",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.