| Lone Star House Call Physicians, Llc | |
|
150 Settlement Dr Ste C Bastrop TX 78602-9662 | |
| (866) 323-3561 | |
| (866) 584-8524 |
| Full Name | Lone Star House Call Physicians, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 150 Settlement Dr Ste C, Bastrop, Texas |
| Authorized Official Name and Position | Robert Williams (OWNER) |
| Authorized Official Contact | 5804611606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star House Call Physicians, Llc 150 Settlement Dr Ste C Bastrop TX 78602-9662 Ph: (866) 323-3561 | Lone Star House Call Physicians, Llc 150 Settlement Dr Ste C Bastrop TX 78602-9662 Ph: (866) 323-3561 |
| NPI Number | 1922566363 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 05/17/2022 |
| Medicare PECOS PAC ID | 3971842816 |
|---|---|
| Medicare Enrollment ID | O20190311002653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922566363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dane D Simons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609876283 PECOS PAC ID: 6002854130 Enrollment ID: I20050420000266 |
| Provider Name | Beatriz C Smith |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740374347 PECOS PAC ID: 8426460668 Enrollment ID: I20201214000161 |
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