# NORTH STAR KL, LP

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

## Provider details

- **NPI number:** 1679088207
- **Authorized official:** DAVID WRIGHT (MANAGER)
- **Authorized official phone:** (972) 649-6460

## Contact information

- **Practice address:** 4501 HERITAGE TRACE PKWY STE 115, FORT WORTH, TX 76244-8940
- **Practice address phone:** (972) 649-6460
- **Practice address fax:** (972) 649-6461
- **Mailing address:** 7600 WINDROSE AVE STE G325, PLANO, TX 75024-0108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2017
- **Last updated:** 09/24/2020