| NPI | 1760834055 |
|---|---|
| Doing Business As | LONE STAR SPORT AND SPINE |
| Entity Type | Organization |
| Authorized Contact | TABASSUM ALI Owner 972-379-7993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: TX 12243) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |