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NPI 1386753499

NPI 1386753499 : METROSTAR HEALTHCARE SERVICES LLC : FARMERS BRANCH, TX

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General NPI Number Information
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    NPI Number           |    1386753499
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    Entity Type          |    Organization 
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    Legal Business Name  |    METROSTAR HEALTHCARE SERVICES LLC 
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Dates
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    Enumeration Date     |    08/30/2006
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    Last Update Date     |    11/25/2025
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Provider Practice Location Address
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    Address Line         |    2727 LYNDON B JOHNSON FWY 
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    City                 |    FARMERS BRANCH
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    State                |    TX
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    Zip                  |    75234-7334
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    Country              |    US
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    Telephone            |    972-331-3133
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    Fax                  |    972-331-3135
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Provider Business Mailing Address
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    Address Line         |    2727 LYNDON B JOHNSON FWY STE 775 
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    City                 |    FARMERS BRANCH
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    State                |    TX
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    Zip                  |    75234-7684
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    Country              |    US
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    Telephone            |    972-331-3133
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    Fax                  |    972-331-3135
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Authorized Official
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    Title or Position    |    ADMINISTRATOR/ DON
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    Name                 |     MARY U EGWU 
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    Credential           |    RN
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    Telephone            |    972-331-3133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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