Lone Star Surgical Group PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00482 Issued in TX

Legal business name

LONE STAR SURGICAL GROUP PLLC

Practice address

2611 Townlake Dr
Prosper, TX 75078-8979

Phone

(972) 974-2993

NPI assigned

Jul 22, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Benoy Abraham GeorgeNPI 1083041321

Title

Owner

Phone

(972) 974-2993

Specialties & licenses 1

Addresses

Practitioners 1

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

• Benoy Abraham George, CSA, LSA

  • Surgical Physician Assistant
  • Prosper, TX
  • NPI 1083041321
  NPD (past) Authorized official

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1437566452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750780123",
            "telephone_number": "972-974-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 TOWNLAKE DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788979",
            "telephone_number": "972-974-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR SURGICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "BENOY",
        "authorized_official_middle_name": "ABRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-974-2993",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lockhart Matter Dermatology PLLC (Lockhart Matter Dermatology)
• Susanne Lockhart, MD
• Ashley Logan, NP
• Kendal Ann Loma, MA, LPC-ASSOCIATE
• Kristen Nicole Lomeli, APRN-CNP, CPNP-AC
• Jaelen Lopez
• Lily Rose Lopez
• Nathalye Lopez
• Louie Peng, PLLC (Little Penguin Pediatric Dentistry)
• Lauren Louis, DDS

• Surgical Physician Assistant in Prosper, TX
• Providers in Prosper, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.