Lone Star Advanced Wound Care

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LONE STAR ADVANCED WOUND CARE

Practice address

4617 94TH St
Lubbock, TX 79424-5015

Phone

(512) 965-4557

NPI assigned

Mar 18, 2025

Organization subpart

No

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

Authorized official

Name

Garry McIntosh

Title

Managing Director

Phone

(512) 965-4557

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1245030238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 94TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 94TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245015",
            "telephone_number": "512-965-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR ADVANCED WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "512-965-4557"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Loewen, M.ED. LPC
• Mirella Leticia Loeza, RN
• Andrea Janelle Logi-Royal, MS, CCC/SLP
• Louis Samuel Lombardi, PA-C
• Kendra Lomeli, HIS
• Lone Star Mobile Med PLLC
• Lone Star Smiles PLLC
• Long & Harris Dermatology PLLC
• David R Long, MD
• Diane Long, M.ED., LPC

• All providers in Lubbock, TX
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.