| Lone Star Dental & Medical Clinic P.a. | |
|
8100 Roughrider Dr Ste 102 Windcrest TX 78239-2455 | |
| (210) 549-4030 | |
| (210) 549-4051 |
| Full Name | Lone Star Dental & Medical Clinic P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8100 Roughrider Dr Ste 102, Windcrest, Texas |
| Authorized Official Name and Position | Azita Khashayar (DENTIST / OWNER) |
| Authorized Official Contact | 2105494030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Dental & Medical Clinic P.a. 8100 Roughrider Dr Ste 102 Windcrest TX 78239-2455 Ph: (210) 549-4030 | Lone Star Dental & Medical Clinic P.a. 8100 Roughrider Dr Ste 102 Windcrest TX 78239-2455 Ph: (210) 549-4030 |
| NPI Number | 1871161380 |
|---|---|
| Provider Enumeration Date | 06/12/2021 |
| Last Update Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871161380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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