Healthcare Provider Details

I. General information

NPI: 1932023421
Provider Name (Legal Business Name): STELLARMED SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR # 32925
AUSTIN TX
78731-4257
US

IV. Provider business mailing address

5900 BALCONES DR # 32925
AUSTIN TX
78731-4257
US

V. Phone/Fax

Practice location:
  • Phone: 804-816-3608
  • Fax:
Mailing address:
  • Phone: 804-816-3608
  • Fax: 804-816-3608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: EMILY J WILLAMSON
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 804-816-3608