Organization
SOUTHWEST TRAUMA RECOVERY CLINICS
Active
Other names
STAR Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALOK KUSHWAHA MD (MANAGING PARTNER)
(817) 264-7225
Entity
Organization
Contact information
Practice address
1643 LANCASTER DR STE 201, GRAPEVINE, TX 76051-3593
(817) 264-7225
(972) 852-9094
Mailing address
1643 LANCASTER DR STE 201, GRAPEVINE, TX 76051-3593
(817) 264-7225
(972) 852-9094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
07/29/2020
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