| Lone Star Geriatrics, Pllc | |
|
140 Heimer Rd San Antonio TX 78232-5028 | |
| (210) 336-4070 | |
| Not Available |
| Full Name | Lone Star Geriatrics, Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 140 Heimer Rd, San Antonio, Texas |
| Authorized Official Name and Position | Walter Walthall (MANAGING MEMBER) |
| Authorized Official Contact | 2103364070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Geriatrics, Pllc 140 Heimer Rd San Antonio TX 78232-5028 Ph: (210) 336-4070 | Lone Star Geriatrics, Pllc 140 Heimer Rd San Antonio TX 78232-5028 Ph: (210) 336-4070 |
| NPI Number | 1396259198 |
|---|---|
| Provider Enumeration Date | 12/01/2017 |
| Last Update Date | 12/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396259198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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