Organization
PRO STAR MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY NORRIS ELLIOTT (COO)
(817) 996-5304
Entity
Organization
Contact information
Practice address
4100 SPRING VALLEY, SUITE 642, DALLAS, TX 75244-3629
(888) 586-7764
(214) 279-9700
Mailing address
4100 SPRING VALLEY, SUITE 642, DALLAS, TX 75244-3629
(888) 586-7764
(214) 279-9700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
12/14/2016
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