Active NPI
Texas Lone Star Physician Services, PLLC
- Family Medicine Physician
- Laredo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TEXAS LONE STAR PHYSICIAN SERVICES, PLLC
- Practice address
- 2005 E Bustamante St
Laredo, TX 78041-5470 - Phone
- (956) 753-5353
- NPI assigned
- Oct 17, 2019
- Last updated
- Dec 17, 2019
- 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
- Dr. Nelson Garay, MD
- Title
- Ceo, Physician
- Phone
- (432) 248-7417
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
2005 E Bustamante St
Laredo, TX 78041-5470
Mailing address
987 Witherspoon Loop
Laredo, TX 78046-8823
Phone (432) 248-7417
Other practice location 1
2005A E Bustamante St
Laredo, TX 78041-5470
Phone (956) 764-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2005 E Bustamante St
#A
Laredo, TX 78041
Phone (956) 753-5353
Interoperability endpoints
- https://api.platform.athenahealth.com/20928/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Laredo, TX
- NPI 1154795284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576540800000",
"number": "1265075618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "987 WITHERSPOON LOOP",
"city": "LAREDO",
"state": "TX",
"postal_code": "780468823",
"telephone_number": "432-248-7417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 E BUSTAMANTE ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415470",
"telephone_number": "956-753-5353"
}
],
"practiceLocations": [
{
"address_1": "2005A E Bustamante St",
"address_purpose": "LOCATION",
"city": "Laredo",
"state": "TX",
"postal_code": "780415470",
"country_code": "US",
"telephone_number": "956-764-8555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TEXAS LONE STAR PHYSICIAN SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A",
"authorized_official_last_name": "GARAY",
"authorized_official_first_name": "NELSON",
"authorized_official_title_or_position": "CEO, PHYSICIAN",
"authorized_official_telephone_number": "432-248-7417",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
- Texas Emergency Room Services, PA
- Texas Federal Wellness Center of Laredo
- Texas Health Staffing Services, Inc.
- Texas Healthcare Providers PLLC
- Texas Institute of Musculoskeletal Excellence in Orthopedics PLLC (Time Orthopedics)
- Texas Medic Transportation LLC
- Texas Provider Care, LLC
- Texas Superior Ambulance Service LLC
- Texas Training Institute for the Family PLLC
- Texas Ultrasound Imaging LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.