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Organization
STAR LUXURY ENTERPRISES INC
Active
Organization
STAR LUXURY ENTERPRISES INC
Active
Other names
Bissonnet Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA WALKER (ADMINISTRATOR)
(832) 928-2818
Entity
Organization
Contact information
Practice address
10101 BISSONNET ST STE 101, HOUSTON, TX 77036-7855
(832) 928-2818
Mailing address
10101 BISSONNET ST STE 101, HOUSTON, TX 77036-7855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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