Organization Active NPI

Lonestar Housecall Physicians PLLC

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1316226418
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LONESTAR HOUSECALL PHYSICIANS PLLC
Practice address
8150 Brookriver Dr Ste 303
Dallas, TX 75247-4055
Phone
(469) 893-9613
Fax
(214) 774-2367
NPI assigned
Aug 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Dr. Olubayo Idowu, M.D
Title
Medical Director
Phone
(469) 893-9613

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

8150 Brookriver Dr Ste 303
Dallas, TX 75247-4055

Mailing address

8150 Brookriver Dr Ste 303
Dallas, TX 75247-4055
Phone (469) 893-9613

National Provider Directory

National Provider Directory

Locations

8150 Brookriver Dr
Ste S303
Dallas, TX 75247
Phone (469) 893-9613

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1316226418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 BROOKRIVER DR STE 303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474055",
            "telephone_number": "469-893-9613",
            "fax_number": "214-774-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 BROOKRIVER DR STE 303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474055",
            "telephone_number": "469-893-9613",
            "fax_number": "214-774-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR HOUSECALL PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "IDOWU",
        "authorized_official_first_name": "OLUBAYO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "469-893-9613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 21, 2012; 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.