Lonestar Nephrology Pllc

NPI #1104538651 in Bryan, Texas

Provider Information

NPI Number
1104538651
Entity Type
Organization
Organization Name
Lonestar Nephrology Pllc
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Dec 15, 2022
Last Updated
Dec 15, 2022

Practice Location

Address
2310 DE LEE ST STE 300
City
Bryan
State
Texas
ZIP Code
77802-2815
Phone
(979) 485-9401

Authorized Official

Name
PROSPERITY EZEANUNA, MD
Title
PRESIDENT
Phone
(979) 402-2115

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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