| North Star Family Medicine P.a. | |
|
7215 Wyoming Spgs Bldg 3 Suite 700 Round Rock TX 78681-4312 | |
| (512) 225-6345 | |
| (512) 225-6344 |
| Full Name | North Star Family Medicine P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7215 Wyoming Spgs, Round Rock, Texas |
| Authorized Official Name and Position | Sandra A Arnold (ADMIN ASST) |
| Authorized Official Contact | 5122256345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Family Medicine P.a. 7215 Wyoming Spgs Building 3 Suite 700 Round Rock TX 78681-4312 Ph: (512) 225-6345 | North Star Family Medicine P.a. 7215 Wyoming Spgs Bldg 3 Suite 700 Round Rock TX 78681-4312 Ph: (512) 225-6345 |
| NPI Number | 1477643880 |
|---|---|
| Provider Enumeration Date | 10/14/2006 |
| Last Update Date | 02/11/2011 |
| Medicare PECOS PAC ID | 5890774806 |
|---|---|
| Medicare Enrollment ID | O20040714001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477643880 | NPI | - | NPPES |
| 0046LE | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K4308 (* (Not Available)) | Primary |
| Provider Name | Vivek H Dayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922173137 PECOS PAC ID: 5294714218 Enrollment ID: I20040715000243 |
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