Provider Demographics
NPI:1831437003
Name:LONESTAR DENTAL EMERGENCY CARE, PC
Entity type:Organization
Organization Name:LONESTAR DENTAL EMERGENCY CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CARNELL
Authorized Official - Last Name:MORRISON, JR.
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:713-492-0995
Mailing Address - Street 1:5445 ALMEDA RD, STE. 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004
Mailing Address - Country:US
Mailing Address - Phone:713-492-0995
Mailing Address - Fax:713-636-9372
Practice Address - Street 1:5445 ALMEDA RD, STE. 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004
Practice Address - Country:US
Practice Address - Phone:713-492-0995
Practice Address - Fax:713-636-9372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22176122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty