# STAR FORMULA INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Star Medical Specialties
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720554108
- **Authorized official:** JENNIFER J MITCHELL (OWNER)
- **Authorized official phone:** (972) 380-2065

## Contact information

- **Practice address:** 1477 LOMALAND DR STE B1, EL PASO, TX 79935-4704
- **Practice address phone:** (915) 213-6995
- **Practice address fax:** (915) 564-5548
- **Mailing address:** 4386 SUNBELT DR, ADDISON, TX 75001-5611
- **Mailing address phone:** (800) 368-2065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 10/23/2018
- **Last updated:** 01/20/2021