Lone Star Family Health Center – Family Medicine Physician, NPI 1568590610
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Lone Star Family Health Center
13905 Grangerland Rd
Conroe, TX 773067809
Phone: (936) 539-4004
Fax: (936) 521-8449
Type: Location
440 Rayford Rd Ste 150
Spring, TX 773864169
Phone: (936) 539-4004
Fax: (281) 419-1395
Type: Location
9516 Fm 1097 Rd W Ste 140
Willis, TX 773184976
Phone: (936) 539-4004
Fax: (936) 224-4205
Type: Location
227 State Highway 75 N # 130
Huntsville, TX 773203171
Phone: (936) 539-4004
Fax: (936) 291-0746
Type: Location
18230 Fm 1488 Rd Ste 203
Magnolia, TX 773544530
Phone: (936) 539-4004
Type: Location
605 S CONROE MEDICAL DR
CONROE, TX 773044722
Phone: (936) 539-4004
Fax: (936) 521-3964
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (680 days ago).
Enrollment records
1
Earliest due date
2024-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040318000793 | O | Clinic/Group Practice | TX | 2024-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77306)
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