Active NPI
Lone Star Proceduralist, PLLC
- General Practice Physician
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- LONE STAR PROCEDURALIST, PLLC
- Practice address
- 3013 E Renner Rd Ste 120
Richardson, TX 75082-3577 - Phone
- (469) 931-0684
- NPI assigned
- Oct 1, 2013
- Last updated
- Oct 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy M McAuliff, M.D.
- Title
- Director
- Phone
- (469) 931-0684
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
3013 E Renner Rd Ste 120
Richardson, TX 75082-3577
Mailing address
3013 E Renner Rd Ste 120
Richardson, TX 75082-3577
Phone (940) 781-8642
National Provider Directory
National Provider DirectoryLocations
3013 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (469) 931-0684
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Richardson, TX
- NPI 1821320177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696464000000",
"number": "1922435239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 E RENNER RD STE 120",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823577",
"telephone_number": "940-781-8642",
"fax_number": "469-931-0712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3013 E RENNER RD STE 120",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823577",
"telephone_number": "469-931-0684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONE STAR PROCEDURALIST, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-01",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A",
"authorized_official_last_name": "MCAULIFF",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "469-931-0684",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.