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Organization
STAR FAMILY MEDICINE PLLC
Active
Organization
STAR FAMILY MEDICINE PLLC
Active
Other names
Star Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM KHADBAI (PROVIDER/OWNER)
(972) 339-0362
Entity
Organization
Contact information
Practice address
933 HILLTOP DR STE 100, WEATHERFORD, TX 76086
(817) 341-7670
Mailing address
933 HILLTOP DR STE 100, WEATHERFORD, TX 76086-8808
(817) 341-7670
(817) 341-7678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q6043
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391429301
—
TX
Enumeration date
06/21/2018
Last updated
03/21/2019
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