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General NPI Number Information
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NPI Number | 1508778523
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Entity Type | Organization
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Legal Business Name | STARZ MEDICAL PROFESSIONALS PLLC
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 4019 S. FRONT ST
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City | BROOKSHIRE
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State | TX
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Zip | 77423-2698
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Country | US
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Telephone | 713-998-0530
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Fax |
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Provider Business Mailing Address
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Address Line | 4019 S. FRONT ST
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City | BROOKSHIRE
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State | TX
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Zip | 77423-2698
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PONMARY THOMAS
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Credential |
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Telephone | 713-998-0530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NULL
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