Lone Star Wellness

Organization Active NPI Family Medicine Physician · Quinlan, TX

NPI 1174540876 · NPPES record last updated Apr 25, 2008

Key facts

NPI
1174540876
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
K0722 (TX)
Legal business name
LONE STAR WELLNESS
Practice address
525 Hwy 34 South
Suite D
Quinlan, TX 75474
Phone
(903) 356-3813
Fax
(903) 356-3820
NPI assigned
Jul 17, 2006
Organization subpart
No

Authorized official

Name
Mrs. Kimberly Dawn Daniel
Title
Office Manager
Phone
(903) 356-3813

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X K0722 TX Yes

Addresses

Primary practice location

525 Hwy 34 South
Suite D
Quinlan, TX 75474

Mailing address

PO Box 730
Quinlan, TX 75474
Phone (903) 356-3813

Other providers in Quinlan, TX

All providers in Quinlan, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.