Provider Demographics
NPI:1679994941
Name:WOODLANDS LONE STAR EMERGENCY PHYSICIANS GROUP, PLLC
Entity type:Organization
Organization Name:WOODLANDS LONE STAR EMERGENCY PHYSICIANS GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FEANNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-895-6625
Mailing Address - Street 1:10223 BROADWAY ST
Mailing Address - Street 2:SUITE P433
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7880
Mailing Address - Country:US
Mailing Address - Phone:832-895-6625
Mailing Address - Fax:877-261-3390
Practice Address - Street 1:32784 FM 2978
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354
Practice Address - Country:US
Practice Address - Phone:281-789-3400
Practice Address - Fax:281-789-3405
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH AMERICA'S EMERGENCY PHYSICIAN PARTNERS, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty