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NPI Code Detail

MEDICARE: STARK CHIROPRACTIC & SPORTS, PLLC

MEDICARE: STARK CHIROPRACTIC & SPORTS, PLLC
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
1111NS0005XSports Physician Chiropractor

Other Identifiers

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

General Provider Information

NPI Number : 1942821368
Entity Type Code : Organization
Provider Name (Legal Business Name) : STARK CHIROPRACTIC & SPORTS, PLLC
Provider Business Mailing Address
First Line : 8500 CYPRESSWOOD DR STE 207
Second Line :
City : SPRING
State : TX
Zip : 77379-7109
Country : US
Telephone Number : 281-547-8930
Fax Number : 844-473-1290
Provider Business Practice Location Address
First Line : 8500 CYPRESSWOOD DR STE 207
Second Line :
City : SPRING
State : TX
Zip : 77379-7105
Country : US
Telephone Number : 281-547-8930
Fax Number : 281-547-8931
Authorized Official
Title or Position : OWNER/CHIROPRACTOR
Name : DR. SHEA STARK
Credential : DC, CCSP, ICSC, EMT
Telephone Number : 281-547-8930
Provider Enumeration Date : 04/27/2020
Last Update Date : 03/08/2026

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