Lone Star Spine Institute, PA

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

L2316 Issued in TX

Legal business name

LONE STAR SPINE INSTITUTE, PA

Practice address

3600 W 7TH St Ste a
Fort Worth, TX 76107-2534

Phone

(817) 429-4545

Fax

(817) 429-4547

NPI assigned

May 17, 2017

Organization subpart

No

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

Authorized official

Name

Shawn Henry, DO

Title

Authorized Official

Phone

(817) 429-4545

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265969562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 W BEDFORD-EULESS RD STE 206",
            "city": "HURST",
            "state": "TX",
            "postal_code": "76053",
            "telephone_number": "817-288-0084",
            "fax_number": "817-445-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W 7TH ST STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072534",
            "telephone_number": "817-429-4545",
            "fax_number": "817-429-4547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 W Pleasant Run Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "TX",
            "postal_code": "751461114",
            "country_code": "US",
            "telephone_number": "817-288-0084",
            "fax_number": "817-445-1039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "808 Tower Dr",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797614239",
            "country_code": "US",
            "telephone_number": "817-288-0084",
            "fax_number": "817-445-1039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONE STAR SPINE INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-429-4545",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "L2316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lone Star Neuro Service LLC
• Lone Star Orthopaedic and Spine Specialists, PLLC
• Lone Star Pet Imaging LLC
• Lone Star Renal PA
• Lone Star Scooters, L.L.C.
• Frank Raymond Lonergan, MD
• Alaina Joy Long
• Baylee Long
• Brittney Long
• David Long

• Orthopaedic Surgery of the Spine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.