| NPI | 1679797310 |
|---|---|
| Doing Business As | LONE STAR PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | KELLY G THORSTAD Physician 512-833-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX L0651) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-18 |