Lonestar Rehabilitation

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

LONESTAR REHABILITATION

Practice address

517 N Carrier Pkwy Ste E
Grand Prairie, TX 75050-5464

Phone

(214) 677-0639

NPI assigned

Apr 8, 2021

Organization subpart

No

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

Authorized official

Name

Miguel Del Bosque

Title

Owner

Phone

(469) 826-4294

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1316526049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N CARRIER PKWY STE E",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505464",
            "telephone_number": "214-677-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N CARRIER PKWY STE E",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505464",
            "telephone_number": "214-677-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "DEL BOSQUE",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-826-4294"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.