NPIMap

Organization Active NPI

Lonestar Provider Network

Doing business as Dallas Medical Specialists

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1194765586
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LONESTAR PROVIDER NETWORK
Doing business as
Dallas Medical Specialists
Practice address
7777 Forest LN
Suite C-300
Dallas, TX 75230-2505
Phone
(972) 566-6000
Fax
(972) 566-6237
NPI assigned
Jun 7, 2006
Last updated
Sep 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
William Haddock
Title
Executive Director
Phone
(972) 566-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

7777 Forest LN
Suite C-300
Dallas, TX 75230-2505

Mailing address

PO Box 404390
Atlanta, GA 30384-4390
Phone (615) 373-7600

Other identifiers 1

IdentifierTypeStateIssuer
0092LTOtherTXBCBS OF TX (AUSTIN)

Other names 1

  • Dallas Medical Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

7777 Forest Ln
Ste B410
Dallas, TX 75230
Phone (972) 566-2822

1110 FM 1189
Ste 101
Millsap, TX 76066
Phone (817) 341-1300

4300 City Point Dr
Ste 203
North Richland Hills, TX 76180
Phone (817) 599-1269

4001 W 15th St
Ste 340
Plano, TX 75093
Phone (505) 289-6155

710 E Anderson St
Weatherford, TX 76086
Phone (817) 598-2130

710 E Anderson St
Ste 103
Weatherford, TX 76086

710 E Anderson St
Ste 104
Weatherford, TX 76086

710 E Anderson St
Ste C
Weatherford, TX 76086
Phone (817) 596-7717

891 Eureka St
Weatherford, TX 76086
Phone (817) 341-7600

929 Hilltop Dr
Ste 100
Weatherford, TX 76086
Phone (817) 599-7576

251 Crown Pointe Blvd
Willow Park, TX 76087
Phone (817) 489-7300

5700 E Interstate 20 Service Rd S
Ste 100
Willow Park, TX 76008
Phone (817) 489-7300

Practitioners & affiliated clinicians

Practitioners 85

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.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1194765586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404390",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303844390",
            "telephone_number": "615-373-7600",
            "fax_number": "615-373-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C-300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-6000",
            "fax_number": "972-566-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR PROVIDER NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "HADDOCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "972-566-6000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX (AUSTIN)",
            "identifier": "0092LT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Medical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.