Lonestar Housecall Physicians PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

LONESTAR HOUSECALL PHYSICIANS PLLC

Practice address

8150 Brookriver Dr Ste 303
Dallas, TX 75247-4055

Phone

(214) 951-0009

Fax

(214) 951-0060

NPI assigned

Jul 22, 2011

Organization subpart

No

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

Authorized official

Name

Olubayo Idowu, M.D

Title

Medical Director

Phone

(214) 951-0009

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1982982195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 BROOKRIVER DR STE 303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474055",
            "telephone_number": "214-951-0009",
            "fax_number": "214-951-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 BROOKRIVER DR STE 303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474055",
            "telephone_number": "214-951-0009",
            "fax_number": "214-951-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR HOUSECALL PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "IDOWU",
        "authorized_official_first_name": "OLUBAYO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "214-951-0009",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "K06009",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111880404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katy Lease Lonergan II, M.D.
• Lonestar Back Institute PLLC
• Lonestar ENT PLLC
• Lonestar Healthcare Dallas
• Lonestar Housecall Physicians PLLC
• Lonestar Intimate Wellness PLLC
• Lonestar Mental Health LLC
• Lonestar Multicare PLLC
• Lonestar Multicare PLLC
• Lonestar Neurostimulation

• Rural Health Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.