Look up the most recent NPI and PECOS records

Texas Lone Star Family Medicine, P.A.

Family Medicine

Allopathic & Osteopathic Physicians

425 Holderrieth Blvd Ste 112, Tomball, TX 77375-4551

PECOS Enrollment

Based on the most recent information from CMS, provider Texas Lone Star Family Medicine, P.A. does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1336660406
Provider Type
Organization
Full Name
Texas Lone Star Family Medicine, P.A.

Subpart
No
Enumeration Date
6/29/2017
Last Updated
7/21/2022

Contact Information

Practice Location

425 Holderrieth Blvd Ste 112, Tomball, TX 77375-4551

(281) 351-7204

(281) 351-9059

Mailing Location

425 Holderrieth Blvd Ste 112, Tomball, TX 77375-4551

(281) 351-7204

(281) 351-9059

Authorized Official

Jacobs, Ginny (Administrator)

(281) 351-7204

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer Texas

Texas Lone Star Family Medicine, P.A.

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Tye, Kathleen

Maria Jordan Md Pa

Whiteley, Michael Joe

Feray, Lance Mark

Pedroza, Richard Andres

Brock, Sonya L

Rolon, Sam Edwin

Texas Family Medicine Center, Pa

New Health Md Of Tomball Pllc

Casagrande, Michael Gerard