Organization Active NPI

Lonestar Sim LLC

  • Diagnostic Radiology Physician
  • Pearland, TX
National Provider Identifier
1427645423
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LONESTAR SIM LLC
Practice address
11711 Shadow Creek Pkwy Ste 147B
Pearland, TX 77584-7234
Phone
(319) 400-0093
NPI assigned
Dec 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Hanoor Singh, MD
Title
Manager
Phone
(319) 400-0093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

11711 Shadow Creek Pkwy Ste 147B
Pearland, TX 77584-7234

Mailing address

1217 Feather Glen LN
Friendswood, TX 77546-1519
Phone (319) 400-0093

National Provider Directory

National Provider Directory

Locations

11711 Shadow Creek Pkwy
Ste 146
Pearland, TX 77584
Phone (319) 400-0093

11711 Shadow Creek Pkwy
Ste 147B
Pearland, TX 77584
Phone (319) 400-0093

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1427645423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 FEATHER GLEN LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775461519",
            "telephone_number": "319-400-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 SHADOW CREEK PKWY STE 147B",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847234",
            "telephone_number": "319-400-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR SIM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "HANOOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-400-0093",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.