Lone Star Allergy, Asthma, and Immunology

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

N2791 Issued in TX

Legal business name

LONE STAR ALLERGY, ASTHMA, AND IMMUNOLOGY

Practice address

800 8TH Ave
Suite 323
Fort Worth, TX 76104-2601

Phone

(817) 810-9800

Fax

(817) 840-6403

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mudita Kirit Shah, M.D.NPI 1649492679

Title

Manager

Phone

(817) 810-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Mudita Shah, MD

  • Allergy & Immunology Physician
  • Fort Worth, TX
  • NPI 1649492679
  Medicare reassignment NPD Authorized official
• Dar Bharat Shah, M.D.

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1841412855
  NPD
• Kirit C Shah, MD

  • Neurology Physician
  • Fort Worth, TX
  • NPI 1386716090
  NPD (past)

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1992015465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "SUITE 324",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042601",
            "telephone_number": "817-810-9800",
            "fax_number": "817-840-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "SUITE 323",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042601",
            "telephone_number": "817-810-9800",
            "fax_number": "817-840-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR ALLERGY, ASTHMA, AND IMMUNOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MUDITA",
        "authorized_official_middle_name": "KIRIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-810-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "N2791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Lombard
• Fatima Yazmin Lomeli, PA-C
• Lona Transport Inc
• Emma Rose Loncar, DDS
• Rashima London
• Lone Star Arthritis and Rheumatology Associates PLLC
• Lone Star Back PA
• Lone Star Cardiovascular Institute, P.L.L.C
• Lone Star Dental and Braces, PLLC
• Lone Star Family Practice, PA

• Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.