Lonestar Visiting Physicians LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LONESTAR VISITING PHYSICIANS LLC

Practice address

4115 Medical Dr Ste 301
San Antonio, TX 78229-5622

Phone

(210) 390-6911

Fax

(210) 890-8711

NPI assigned

Dec 17, 2019

Organization subpart

No

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

Authorized official

Name

Alexis Southwell

Title

Owner

Phone

(210) 400-8460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• David A Marks, M.D.

  • Pulmonary Disease Physician
  • San Antonio, TX
  • NPI 1821016023
  Medicare reassignment NPD
• Johnny Ray Rodriguez, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1336824721
  Medicare reassignment NPD
• Dusty R Wilkins, MSN, FNP

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1396045506
  Medicare reassignment NPD
• Caridad M. Rebollar, M.D.

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1073598520
  Medicare reassignment
• Tracie Michelle Noble, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • San Jacinto, CA
  • NPI 1790270544
  NPD

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1609414937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 MEDICAL DR STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295622",
            "telephone_number": "210-390-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 MEDICAL DR STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295622",
            "telephone_number": "210-390-6911",
            "fax_number": "210-890-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR VISITING PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "SOUTHWELL",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-400-8460"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonestar Ophthalmology Center of San Antonio, P.a.
• Lonestar Podiatry & Surgery PA
• Lonestar Podiatry & Surgery, P.a.
• Lonestar Rides LLC
• Lonestar Vision Center of San Antonio, LLC
• Long Ball LTD
• Dorothy A. Long Parma, M.D.
• Long Term Care Services, LP
• Aaryn Ryen Long
• Brian William Long, DC

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.