Active NPI
Lone Star PM & R Group, PA
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- San Antonio, TX
National Provider Identifier
1215113642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- J8327
- Legal business name
- LONE STAR PM & R GROUP, PA
- Practice address
- 8500 Village Dr Ste 204
San Antonio, TX 78217-5510 - Phone
- (210) 222-2606
- Fax
- (210) 222-8410
- NPI assigned
- Jan 16, 2008
- Last updated
- Nov 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Mulroy, MD
- Title
- Physician/President
- Phone
- (210) 616-9990
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | J8327 | TX | Primary |
Addresses
Primary practice location
8500 Village Dr Ste 204
San Antonio, TX 78217-5510
Mailing address
8601 Village Drive, Ste 118
San Antonio, TX 78205-5509
Phone (210) 222-2606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127473005 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Medicine & Rehabilitation Physician
- San Antonio, TX
- NPI 1821086471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542672000000",
"number": "1215113642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8601 VILLAGE DRIVE, STE 118",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782055509",
"telephone_number": "210-222-2606",
"fax_number": "210-222-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 VILLAGE DR STE 204",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175510",
"telephone_number": "210-222-2606",
"fax_number": "210-222-8410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONE STAR PM & R GROUP, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-16",
"last_updated": "2018-11-20",
"status": "A",
"authorized_official_last_name": "MULROY",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
"authorized_official_telephone_number": "210-616-9990",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TX",
"license": "J8327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127473005",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Lone Star Medical Equipment LTD
- Lone Star Medical Services of Texas PLLC
- Lone Star Mission Oncology Network
- Lone Star OB/GYN Associates, P.a.
- Lone Star PM & R Group
- Lone Star Primary Care and Aesthetics
- Lone Star Revelation LLC (Revelation Counseling Services)
- Lone Star Urgent Care Managers, LLC (Little Spurs Autism Centers)
- Lone Star Wheelchair
- Katherine Lena Lones
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.