Organization
ASTAR MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON LYNN GILLUM (ADMINISTRATOR)
(979) 826-2009
Entity
Organization
Contact information
Practice address
225 HIGHWAY 290 BUSINESS EAST, SUITE B, HEMPSTEAD, TX 77445
(979) 826-2009
(979) 826-2022
Mailing address
PO BOX 1183, HEMPSTEAD, TX 77445-1183
(979) 826-2009
(979) 826-2022
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0051704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143005001
—
TX
Enumeration date
10/27/2006
Last updated
07/31/2008
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