Organization
STAR STATE HEART, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL JAMES DEMAIO JR. M.D. (SOLE MBR)
(512) 709-8229
Entity
Organization
Contact information
Practice address
1008 RANCH ROAD 620 S, SUITE 201, LAKEWAY, TX 78734-5631
(512) 334-7855
(512) 445-6095
Mailing address
PO BOX 41239, AUSTIN, TX 78704-0021
(512) 334-7876
(512) 445-6095
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G6655
TX
207RI0011X
Interventional Cardiology Physician
Primary
G6655
TX
Other
Enumeration date
03/02/2010
Last updated
03/15/2010
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