| Star Surgical Services | |
|
1631 Lancaster Dr Ste 240 Grapevine TX 76051-3586 | |
| (817) 741-4144 | |
| Not Available |
| Full Name | Star Surgical Services |
|---|---|
| Speciality | Clinic/center |
| Location | 1631 Lancaster Dr Ste 240, Grapevine, Texas |
| Authorized Official Name and Position | Shari Kushwaha (MEMBER/PHYSICIAN) |
| Authorized Official Contact | 8173122246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Surgical Services 405 Stockton Dr Southlake TX 76092-2229 Ph: () - | Star Surgical Services 1631 Lancaster Dr Ste 240 Grapevine TX 76051-3586 Ph: (817) 741-4144 |
| NPI Number | 1700428331 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 10/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700428331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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