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NPI 1366153223

OrganizationActive

Lonestar Podiatry PLLC

NPI 1366153223 · Podiatric Clinic/Center · Mansfield, TX

Provider details

NPI number: 1366153223
Entity type: Organization
Primary specialty: Podiatric Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Mai Pham, Podiatrist

Practice location

705 E Broad St

Mansfield, TX 76063-6913

Phone: (817) 697-4840

Fax: (817) 753-8985

More TX providers

Mailing address

705 E Broad St Ste 117

Mansfield, TX 76063-6914

Registry dates

Enumerated: 2022-12-12
Last updated: 2024-04-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Lonestar Podiatry PLLC — NPI 1366153223, Mansfield, TX | NPI Central