| NPI | 1063985687 |
|---|---|
| Doing Business As | LONESTAR TELEMEDICINE |
| Entity Type | Organization |
| Authorized Contact | JUSTIN TODD BAKER Credentialing 832-799-2295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |