PRO STAR MEDICAL (NPI# 1528515988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528515988 |
| Entity Type | Organization |
| Organization Name | PRO STAR MEDICAL |
| Practice Address |
4100 Spring Valley Suite 642 Dallas TX 75244-3629 |
| Practice Telephone | 8885867764 |
| Practice Fax Number | 2142799700 |
| Mailing Telephone | 8885867764 |
| Mailing Fax Number | 2142799700 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-12-14 |
| Authorized Official Name | KIMBERLY NORRIS ELLIOTT (COO) |
| Authorized Official Telephone | 8179965304 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
4100 SPRING VALLEY SUITE 642 |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730121617 | Steve Wayne Patrick | Psychologist | 4100 Spring Valley, Suite 511, Dallas, TX 75244-3629 | 2006-06-12 |
| 1528402492 | Teladoc Physicians P.c | Family Medicine | 4100 Spring Valley, Suite 515, Dallas, TX 75244-3629 | 2013-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443371 | Bridgewater Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 603 Munger Ave Ste 1001011, Dallas, TX 75202-1839 | 2020-09-23 |
| 1306464987 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 2727 Live Oak St, Dallas, TX 75204-5729 | 2020-07-09 |
| 1669099644 | Panoptic Medical | Durable Medical Equipment & Medical Supplies | 8330 Lbj Fwy Ste 1030, Dallas, TX 75243-1166 | 2020-06-25 |
| 1770105264 | Axxess Medical LLC | Durable Medical Equipment & Medical Supplies | 6125 Luther Ln # 257, Dallas, TX 75225-6202 | 2020-05-07 |
| 1912527755 | Diesel Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2351 W Northwest Hwy Ste 3135, Dallas, TX 75220-4433 | 2020-04-22 |
| 1952930315 | Essential Health Solutions, LLC | Durable Medical Equipment & Medical Supplies | 9550 Forest Ln Ste 208e, Dallas, TX 75243-5905 | 2020-04-07 |
| 1770117061 | Kozlow and Rowell Dentistry Pllc | Durable Medical Equipment & Medical Supplies | 5050 Quorum Dr Ste 300, Dallas, TX 75254-1488 | 2020-02-26 |
| 1780214023 | Tyler Northcutt | Durable Medical Equipment & Medical Supplies | 2351 W Northwest Hwy Ste 1101, Dallas, TX 75220-4480 | 2020-01-24 |
| 1568002335 | Arthritis Strategies of Texas, Pllc | Durable Medical Equipment & Medical Supplies | 8611 Hillcrest Ave Ste 200b, Dallas, TX 75225-4203 | 2020-01-09 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.