# NORTHSTAR HEALTHCARE

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

## Provider details

- **NPI number:** 1528658788
- **Authorized official:** KEILAN PETERSON (CEO)
- **Authorized official phone:** (713) 352-9439

## Contact information

- **Practice address:** 2104 FM 2920 RD, SPRING, TX 77388-3676
- **Practice address phone:** (713) 352-9439
- **Mailing address:** 5340 WESLAYAN ST \# 273407, HOUSTON, TX 77005-1048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP2201X | Ambulatory Care Registered Nurse | — | NULL | Yes |
| 163WP2201X | Ambulatory Care Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2021
- **Last updated:** 01/21/2021