# STARBUCK MEDICAL LLC

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

## Provider details

- **NPI number:** 1770255200
- **Authorized official:** CRYSTAL RAE STARBUCK APRN-CNP (OWNER, MEMBER, MANAGER)
- **Authorized official phone:** (580) 977-8802

## Contact information

- **Practice address:** 11900 N MACARTHUR SUITE F7, OKLAHOMA CITY, OK 73162
- **Practice address phone:** (580) 977-8802
- **Mailing address:** 8341 WOLF LAKE DRIVE, PIEDMONT, OK 73078
- **Mailing address phone:** (580) 977-8802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2021
- **Last updated:** 10/03/2021