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Organization
TEXAS FAMILY & OCCUPATIONAL HEALTH SERVICES I INC
Active
Organization
TEXAS FAMILY & OCCUPATIONAL HEALTH SERVICES I INC
Active
Other names
Star Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF VITT (PRESIDENT)
(214) 572-8835
Entity
Organization
Contact information
Practice address
2300 VALLEY VIEW LN, SUITE 100, FARMERS BRANCH, TX 75234-5753
(214) 572-8835
(972) 759-1519
Mailing address
PO BOX 810478, DALLAS, TX 75381-0478
(214) 572-8835
(972) 759-1519
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1546
TX
207Q00000X
Family Medicine Physician
Primary
9883
TX
208100000X
Physical Medicine & Rehabilitation Physician
J7118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076MD
BLUE SHIELD
TX
05
—
178094201
—
TX
Enumeration date
05/01/2007
Last updated
05/28/2008
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