Organization
SILVER STAR HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENA KAYE MONTGOMERY APRN (CEO)
(870) 703-5022
Entity
Organization
Contact information
Practice address
1459 VZ COUNTY ROAD 3210, WILLS POINT, TX 75169-7103
(870) 703-5022
(903) 905-2710
Mailing address
1459 VZ COUNTY ROAD 3210, WILLS POINT, TX 75169-7103
(870) 703-5022
(903) 905-2710
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
09/23/2024
Last updated
11/06/2024
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