MEDICARE: FELIX W STARGHILL PC & ASSOC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	16997	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477716447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FELIX W STARGHILL PC & ASSOC

Provider Business Mailing Address
First Line	:	2754 W DAVIS
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75211
Country	:	US
Telephone Number	:	214-330-4100
Fax Number	:	214-330-4113

Provider Business Practice Location Address
First Line	:	2754 W DAVIS
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75211
Country	:	US
Telephone Number	:	214-330-4100
Fax Number	:	214-330-4113

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. FELIX WENDALL STARGHILL
Credential	:	DDS
Telephone Number	:	214-330-4700

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	07/09/2008

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