Healthcare Provider Details

I. General information

NPI: 1942386297
Provider Name (Legal Business Name): ALL STAR MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10625 RICHMOND AVE STE 140
HOUSTON TX
77042-4906
US

IV. Provider business mailing address

1101 PECAN ST W STE 8
PFLUGERVILLE TX
78660-2607
US

V. Phone/Fax

Practice location:
  • Phone: 512-251-5977
  • Fax: 512-251-6017
Mailing address:
  • Phone: 512-251-5977
  • Fax: 512-251-6017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ARTHUR PRESTON GAGE
Title or Position: OWNER/PARTNER
Credential:
Phone: 512-251-5977