NPIMap

Organization Active NPI

Lone Star Wellness

  • Family Medicine Physician
  • Quinlan, TX
National Provider Identifier
1174540876
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K0722 Issued in 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
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K0722 TX Primary

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1174540876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "QUINLAN",
            "state": "TX",
            "postal_code": "75474",
            "telephone_number": "903-356-3813",
            "fax_number": "903-356-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 HWY 34 SOUTH",
            "address_2": "SUITE D",
            "city": "QUINLAN",
            "state": "TX",
            "postal_code": "75474",
            "telephone_number": "903-356-3813",
            "fax_number": "903-356-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-356-3813",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quinlan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.