Organization Active NPI

Lone Star Proceduralist, PLLC

  • General Practice Physician
  • Richardson, TX
National Provider Identifier
1922435239
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

3013 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (469) 931-0684

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.

Verify at the official NPI Registry.