Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lone Star Renal PA

Organization Nephrology Physician · NPI 1306520366

Lone Star Renal PA is a Nephrology Physician in Fort Worth, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9800 N Beach St Ste 500
Fort Worth, TX 76244-6474
Phone: (817) 647-9801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1306520366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anusha Jogimahanti — President · (817) 647-9801
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 11, 2023
Mailing address9800 N Beach St Ste 500, Fort Worth, TX 76244-6474

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