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1932703220
LONE STAR FAMILY PRACTICE, PA
FORT WORTH, TX
NPI
1932703220
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Entity Type
Organization
Authorized Contact
SUDHA R JOGIMAHANTI
President
817-269-2964
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2020-11-26
Last Update Date
2023-11-15
Business Address
LONE STAR FAMILY PRACTICE, PA
9800 N BEACH ST STE 508
FORT WORTH, TX 76244-6473
Phone number: 817-890-9111
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Mailing Address
LONE STAR FAMILY PRACTICE, PA
PO BOX 39
ROANOKE, TX 76262-0039
Phone number: 817-269-2964
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