Organization · Type 2 NPI

Lonestar Podiatry PLLC

Podiatric Clinic/Center · Mansfield, TX

NPI number 1366153223 Active

Practice location

705 E Broad St
Mansfield, TX 76063-6913

Call (817) 697-4840 Map

Fax (817) 753-8985

Mailing address

705 E Broad St Ste 117
Mansfield, TX 76063-6914

Specialties and licenses

Taxonomy	Code	License
Podiatric Clinic/Center Primary	261QP1100X	None listed

Podiatric Clinic/Center: Definition to come...

Another provider at this address

Mai Pham, DPMFoot & Ankle Surgery Podiatrist Mansfield, TX NPI 1558850990

Other podiatric clinic/center providers in Mansfield

Pryme Foot & Ankle Center PLLCPodiatric Clinic/Center Mansfield, TX NPI 1154844348

See all in Mansfield →

NPI record

NPI: 1366153223
Entity type: Organization (Type 2)
Issued: Dec 12, 2022
Last updated: Apr 3, 2024
Status: Active

Other names

<unavail>
Texas Family Foot and Ankle Care · doing business as
Texas Family Foot and Ankle Care · doing business as

Authorized official

Mai Pham
Podiatrist
(682) 557-6129

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366153223

Lonestar Podiatry PLLC's National Provider Identifier is 1366153223, issued on Dec 12, 2022. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Mansfield, TX. The record was last updated on Apr 3, 2024.