Organization
STARLIFE VENTURES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA ENELICHI PT (OWNER)
(713) 588-4881
Entity
Organization
Contact information
Practice address
2755 TEXAS PKWY STE 102, MISSOURI CITY, TX 77489-5114
(713) 588-4881
(281) 206-4664
Mailing address
10103 FONDREN RD STE 150A, HOUSTON, TX 77096-4556
(713) 588-4881
(281) 206-4664
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
TX
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383146
MEDICARE TRADITIONAL
TX
05
—
383146
—
TX
Enumeration date
12/19/2013
Last updated
05/04/2021
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