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Organization
STAR PRIMARY CARE,PA
Active
Organization
STAR PRIMARY CARE,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYENDRA K PATEL M.D. (PRESIDENT)
(281) 485-6322
Entity
Organization
Contact information
Practice address
6516 BROADWAY ST, SUITE 108, PEARLAND, TX 77581-7880
(281) 485-6322
(281) 485-6306
Mailing address
2914 WICKWOOD DR, PEARLAND, TX 77584-5982
(281) 485-6322
(281) 485-6306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L5866
TX
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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