| Lone Star Kids Care | |
|
1256 W Exchange Pkwy Ste 200 Allen TX 75013-7049 | |
| (972) 649-5480 | |
| (469) 854-6664 |
| Full Name | Lone Star Kids Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1256 W Exchange Pkwy Ste 200, Allen, Texas |
| Authorized Official Name and Position | Kimberly Lynn Smith (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9726495480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Kids Care 1256 W Exchange Ste 200 Allen TX 75013-7049 Ph: (972) 649-5480 | Lone Star Kids Care 1256 W Exchange Pkwy Ste 200 Allen TX 75013-7049 Ph: (972) 649-5480 |
| NPI Number | 1134675366 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 08/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134675366 | NPI | - | NPPES |
| 1976433 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M1354 (Texas) | Primary |
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