| Lone Star Orthodontics, P.a. | |
|
7517 Cameron Rd Ste #106 Austin TX 78752-2057 | |
| (512) 278-1111 | |
| Not Available |
| Full Name | Lone Star Orthodontics, P.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7517 Cameron Rd, Austin, Texas |
| Authorized Official Name and Position | Don Raymond Hartsfield (PRESIDENT) |
| Authorized Official Contact | 5122781111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Orthodontics, P.a. 8900 Lone Tree Dr Manor TX 78653-4843 Ph: (512) 278-1111 | Lone Star Orthodontics, P.a. 7517 Cameron Rd Ste #106 Austin TX 78752-2057 Ph: (512) 278-1111 |
| NPI Number | 1780639070 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 10/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780639070 | NPI | - | NPPES |
| 1766842-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12117 (Texas) | Primary |
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