Organization
TEC STAR MEDICAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA LYNN SANDERSON (CEO)
(661) 242-3100
Entity
Organization
Contact information
Practice address
15325 ACACIA WAY, FRAZIER PARK, CA 93222-5204
(661) 242-3100
(661) 242-3100
Mailing address
PO BOX 5204, PINE MOUNTAIN CLUB, CA 93222-5204
(661) 242-3100
(661) 242-3100
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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