Lonestar Podiatry Pllc

NPI #1366153223 in Mansfield, Texas

Provider Information

NPI Number
1366153223
Entity Type
Organization
Organization Name
Lonestar Podiatry Pllc
Primary Specialty
Clinic/Center - Podiatric
Enumeration Date
Dec 12, 2022
Last Updated
Apr 3, 2024

Practice Location

Address
705 E BROAD ST
State
Texas
ZIP Code
76063-6913
Phone
(817) 697-4840

Authorized Official

Name
MAI PHAM
Title
PODIATRIST
Phone
(682) 557-6129

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PodiatricPodiatric

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