| Lonestar Medical | |
|
952 Gruene Rd Ste 150 New Braunfels TX 78130-3920 | |
| (830) 626-9911 | |
| (830) 626-9922 |
| Full Name | Lonestar Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 952 Gruene Rd Ste 150, New Braunfels, Texas |
| Authorized Official Name and Position | Jay L Gruhlkey (PHYSICIAN) |
| Authorized Official Contact | 8306269911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lonestar Medical 301 Main Plz # 342 New Braunfels TX 78130-5136 Ph: (830) 626-9911 | Lonestar Medical 952 Gruene Rd Ste 150 New Braunfels TX 78130-3920 Ph: (830) 626-9911 |
| NPI Number | 1285837682 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 08/16/2019 |
| Medicare PECOS PAC ID | 6103997374 |
|---|---|
| Medicare Enrollment ID | O20080616000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285837682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K7750 (Texas) | Primary |
| Provider Name | Jay L Gruhlkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154327047 PECOS PAC ID: 3971547100 Enrollment ID: I20050617000404 |
| Provider Name | Calvin Plumb |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669438164 PECOS PAC ID: 6406891969 Enrollment ID: I20050624000356 |
| Provider Name | Susanne F Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669735510 PECOS PAC ID: 9032364203 Enrollment ID: I20130220000165 |
| Provider Name | Jordan C Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326334871 PECOS PAC ID: 3476772377 Enrollment ID: I20190208002556 |
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