Lone Star Orthotics, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

000059 Issued in TX

Legal business name

LONE STAR ORTHOTICS, INC

Practice address

8399 Almeda Rd Ste L
Houston, TX 77054-7105

Phone

(713) 747-1000

Fax

(713) 747-1022

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

John M. Wallace, CO

Title

President

Phone

(713) 747-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104987825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8399 ALMEDA RD STE L",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770547105",
            "telephone_number": "713-747-1000",
            "fax_number": "713-747-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8399 ALMEDA RD STE L",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770547105",
            "telephone_number": "713-747-1000",
            "fax_number": "713-747-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-747-1000",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "000059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "531643",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lone Star Home Dialysis, Inc.
• Lone Star Home Infusion, LLC
• Lone Star Medped PLLC
• Lone Star Neuromonitoring PLLC
• Lone Star Orthopedics
• Lone Star Smiles, PC
• Lone Star Speed EMS, Inc.
• Lone Star State Health
• Lone Star Surgical Assistant Services
• Lone Star Surgical Partners, PA

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.