Lone Star Back PA

NPI #1841419843 in Ft Worth, Texas

Provider Information

NPI Number: 1841419843
Entity Type: Organization
Organization Name: Lone Star Back PA
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Apr 25, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1002 MONTGOMERY ST STE 200
City: Ft Worth
State: Texas
ZIP Code: 76107-2693
Phone: (214) 943-9431

Authorized Official

Name: SHAWN HENRY, DO
Title: OWNER
Phone: (214) 943-9431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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