Organization Active NPI

Lonestar Primary Clinic PLLC

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1649913518
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LONESTAR PRIMARY CLINIC PLLC
Practice address
11920 S Highway 6 Ste 1500
Sugar Land, TX 77498-5748
Phone
(281) 617-8671
Fax
(832) 944-6133
NPI assigned
Apr 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Dr. Jinny NarulaNPI 1801095880
Title
MD
Phone
(281) 617-8671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

11920 S Highway 6 Ste 1500
Sugar Land, TX 77498-5748

Mailing address

11920 S Highway 6 Ste 1500
Sugar Land, TX 77498-5748
Phone (281) 617-8671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220509001776 TX Part B Supplier - Clinic/Group Practice 5698152890 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1649913518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 S HIGHWAY 6 STE 1500",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774985748",
            "telephone_number": "281-617-8671",
            "fax_number": "832-944-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 S HIGHWAY 6 STE 1500",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774985748",
            "telephone_number": "281-617-8671",
            "fax_number": "832-944-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR PRIMARY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "NARULA",
        "authorized_official_first_name": "JINNY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "281-617-8671",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.