Organization
STAR SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARI KUSHWAHA MD (MEMBER/PHYSICIAN)
(817) 312-2246
Entity
Organization
Contact information
Practice address
1631 LANCASTER DR STE 240, GRAPEVINE, TX 76051-3586
(817) 741-4144
Mailing address
405 STOCKTON DR, SOUTHLAKE, TX 76092-2229
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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