Organization
TEXAS STAR MED CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE B BERRY MD (OWNER)
(210) 977-8630
Entity
Organization
Contact information
Practice address
4749 FREDERICKSBURG RD STE A, SAN ANTONIO, TX 78229-4465
(830) 822-0328
Mailing address
4749 FREDERICKSBURG RD STE A, SAN ANTONIO, TX 78229-4465
(210) 977-8630
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/31/2023
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