| Star Medical Group | |
|
2300 Valley View Ln Suite 100 Farmers Branch TX 75234-5753 | |
| (214) 572-8835 | |
| (972) 759-1518 |
| Full Name | Star Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2300 Valley View Ln, Farmers Branch, Texas |
| Authorized Official Name and Position | Jeff A Vitt (PRESIDENT) |
| Authorized Official Contact | 2145728835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Medical Group Pob 810478 Dallas TX 75381-0478 Ph: (214) 572-8835 | Star Medical Group 2300 Valley View Ln Suite 100 Farmers Branch TX 75234-5753 Ph: (214) 572-8835 |
| NPI Number | 1053352310 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053352310 | NPI | - | NPPES |
| 1780942 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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