Organization
STAR CPD SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA L DAVIS MS (MANAGER)
(866) 586-8919
Entity
Organization
Contact information
Practice address
513 COUNTY ROAD 3640, SULPHUR SPRINGS, TX 75482-3650
(866) 586-8919
(866) 586-8918
Mailing address
511 COUNTY ROAD 3640, SULPHUR SPRINGS, TX 75482-6917
(866) 586-8919
(866) 586-8918
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FTSP37
MULTISPECIALTY207RP1001X PULMONARY DISEASE, MULTISPEIALTY207RSO012XSLEEP MEDICIN
TX
Enumeration date
11/03/2006
Last updated
08/03/2011
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