Organization Active NPI

Lone Star Internal Medicine Associates

  • Legal Medicine
  • Garland, TX
National Provider Identifier
1992811657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
M1573 Issued in TX
Legal business name
LONE STAR INTERNAL MEDICINE ASSOCIATES
Practice address
617 Clara Barton Blvd
Garland, TX 75042-5756
Phone
(972) 485-4440
Fax
(972) 485-4443
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ranjan Chanda, M.D.NPI 1578677274
Title
Physician
Phone
(972) 485-4440

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
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X M1573 TX Primary

Addresses

Primary practice location

617 Clara Barton Blvd
Garland, TX 75042-5756

Mailing address

617 Clara Barton Blvd
Garland, TX 75042-5756
Phone (972) 485-4440

National Provider Directory

National Provider Directory

Locations

617 Clara Barton Blvd
Garland, TX 75042
Phone (972) 485-4440

2821 E President George Bush Hwy
Ste 510
Richardson, TX 75082
Phone (972) 664-0404

2300 W FM 544
Ste 220
Wylie, TX 75098
Phone (972) 442-2900

Practitioners & affiliated clinicians

Practitioners 6

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992811657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 CLARA BARTON BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425756",
            "telephone_number": "972-485-4440",
            "fax_number": "972-485-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 CLARA BARTON BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425756",
            "telephone_number": "972-485-4440",
            "fax_number": "972-485-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANDA",
        "authorized_official_first_name": "RANJAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-485-4440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "M1573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.