| Organization Name: | LONESTAR HOUSECALL PHYSICIANS PLLC |
| NPI Number: | 1316226418 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OLUBAYO IDOWU (MEDICAL DIRECTOR) |
| Mailing Address: | 8150 Brookriver Dr Ste 303 Dallas |
| State: | TX US |
| Postal Code: | 752474055 |
| Phone Number: | 4698939613 |
| Fax Number: | 2147742367 |
| NPI Enumeration Date: | 08/08/2011 |
| NPI Last Update Date: | 03/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |