# STARKS MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306570593
- **Authorized official:** LINDSEY WALDROP (BILLING MANAGER)
- **Authorized official phone:** (903) 339-0887

## Contact information

- **Practice address:** 125 E MAIN ST, BULLARD, TX 75757-5345
- **Practice address phone:** (903) 339-0887
- **Mailing address:** 125 E MAIN ST, BULLARD, TX 75757-5345
- **Mailing address phone:** (903) 339-0887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2022
- **Last updated:** 09/29/2024