Organization
ALL STARS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELA T SOTELO (PRESIDENT)
(956) 782-5200
Entity
Organization
Contact information
Practice address
300 E NOLANA LOOP, STE C, PHARR, TX 78577-9684
(956) 782-5200
(956) 782-5202
Mailing address
300 E NOLANA LOOP, STE C, PHARR, TX 78577-9684
(956) 782-5200
(956) 782-5202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166433601
—
TX
05
—
166433602
—
TX
Enumeration date
08/30/2006
Last updated
09/08/2011
Update your record
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