Provider Demographics
NPI:1356701387
Name:LONE STAR HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:LONE STAR HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IFTEKHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-456-3103
Mailing Address - Street 1:6113 TORIBIO DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78043-5116
Mailing Address - Country:US
Mailing Address - Phone:956-602-1612
Mailing Address - Fax:956-602-1211
Practice Address - Street 1:6113 TORIBIO DR
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-5116
Practice Address - Country:US
Practice Address - Phone:956-602-1612
Practice Address - Fax:956-602-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXXXXXXX301Medicaid