Organization
ALLSTAR PARTNERS LP
Active
Other names
All Star Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR PRESTON GAGE (OWNER/PARTNER)
(512) 251-5977
Entity
Organization
Contact information
Practice address
6894 ALAMO DOWNS PKWY, SAN ANTONIO, TX 78238-4535
(210) 767-8004
(210) 767-8024
Mailing address
1101 W. PECAN, #8, PFLUGERVILLE, TX 78634
(512) 251-5977
(512) 251-6017
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001002072
—
TX
05
—
016039201
—
TX
05
—
016039202
—
TX
05
—
107662201
—
TX
05
—
107662203
—
TX
05
—
144175001
—
TX
01
—
532674
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/31/2006
Last updated
10/30/2012
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