Organization · Type 2 NPI

Lunar Medical Group PLLC

Sports Medicine (Orthopaedic Surgery) Physician · Allen, TX

NPI number 1366299976 Active

Practice location

1111 Raintree Cir Ste 290
Allen, TX 75013-4905

Fax (469) 519-0213

Specialties and licenses

Taxonomy	Code	License
Adult Medicine Physician	207QA0505X	None listed
Sports Medicine (Family Medicine) Physician	207QS0010X	None listed
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	None listed

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

NPI record

NPI: 1366299976
Entity type: Organization (Type 2)
Issued: May 1, 2024
Last updated: Oct 13, 2025
Status: Active

Other names

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Twin Creeks Orthopedic and Sports Injury Clinic · doing business as
Twin Creeks Orthopedics and Regenerative Clinic · doing business as

Authorized official

Alexander P Bulan, PHYSICIAN ASSISTANT
PA
(469) 342-3383

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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 1366299976

Lunar Medical Group PLLC's National Provider Identifier is 1366299976, issued on May 1, 2024. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Allen, TX. The record was last updated on Oct 13, 2025.