Lonestar Podiatry PLLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

LONESTAR PODIATRY PLLC

Practice address

705 E Broad St
Mansfield, TX 76063-6913

Phone

(817) 697-4840

Fax

(817) 753-8985

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

Mai PhamNPI 1558850990

Title

Podiatrist

Phone

(682) 557-6129

Specialties & licenses 1

Addresses

Other names 1

• Texas Family Foot and Ankle Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mai Pham, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mansfield, TX
  • NPI 1558850990
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1366153223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E BROAD ST STE 117",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636914",
            "telephone_number": "817-697-4840",
            "fax_number": "817-753-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E BROAD ST",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636913",
            "telephone_number": "817-697-4840",
            "fax_number": "817-753-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MAI",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "682-557-6129"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Family Foot and Ankle Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Family Foot and Ankle Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mahesh Kumar Lnu
• Amber S Lockett, SW
• Lok Health PLLC
• Lone Star Orthopaedic and Spine Specialists, PLLC
• Lonestar Hospital Medicine Associates, PA
• Jane Ann Long, LPC
• Abel David Lopez-Portillo, DDS
• Daniel Esteban Lopez, MD
• Jeanette Lopez
• Priscila Lopez

• Podiatric Clinic/Center in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Podiatric Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.

Verify at the official NPI Registry.