| Lone Star Medped Pllc | |
|
6033 Airline Dr Suite C Houston TX 77076-4209 | |
| (713) 694-2808 | |
| (713) 694-2833 |
| Full Name | Lone Star Medped Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 6033 Airline Dr, Houston, Texas |
| Authorized Official Name and Position | Praymal Thakrar (OWNER) |
| Authorized Official Contact | 7136942808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Medped Pllc 6033 Airline Dr Suite C Houston TX 77076-4209 Ph: (713) 694-2808 | Lone Star Medped Pllc 6033 Airline Dr Suite C Houston TX 77076-4209 Ph: (713) 694-2808 |
| NPI Number | 1386046936 |
|---|---|
| Provider Enumeration Date | 09/25/2014 |
| Last Update Date | 10/08/2015 |
| Medicare PECOS PAC ID | 3274855267 |
|---|---|
| Medicare Enrollment ID | O20141202001012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386046936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Praymal Thakrar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881855039 PECOS PAC ID: 5698911063 Enrollment ID: I20130410000214 |
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