Lone Star Proceduralist, Pllc

NPI #1922435239 in Richardson, Texas

Provider Information

NPI Number: 1922435239
Entity Type: Organization
Organization Name: Lone Star Proceduralist, Pllc
Primary Specialty: General Practice
Enumeration Date: Oct 1, 2013
Last Updated: Oct 5, 2023

Practice Location

Address: 3013 E RENNER RD STE 120
City: Richardson
State: Texas
ZIP Code: 75082-3577
Phone: (469) 931-0684

Authorized Official

Name: TIMOTHY M MCAULIFF, M.D.
Title: DIRECTOR
Phone: (469) 931-0684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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