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General NPI Number Information
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NPI Number | 1386677672
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Entity Type | Organization
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Legal Business Name | TEX-STAR DME, INC.
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 12/12/2012
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Provider Practice Location Address
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Address Line | 3421 W ALBERTA RD STE B
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-682-3044
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Fax | 956-682-3036
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Provider Business Mailing Address
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Address Line | 3421 W ALBERTA RD STE B
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-682-3044
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Fax | 956-682-3036
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Authorized Official
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Title or Position | OWNER
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Name | HECTOR F CARBAJAL JR.
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Credential | RN
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Telephone | 956-682-3044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0090272
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 0090272
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License Number State | TX
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