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NPI 1720002249

NPI 1720002249 : MORNING STAR DIAGNOSTIC SERVICES INC : BROWNSVILLE, TX

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General NPI Number Information
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    NPI Number           |    1720002249
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    Entity Type          |    Organization 
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    Legal Business Name  |    MORNING STAR DIAGNOSTIC SERVICES INC 
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Dates
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    Enumeration Date     |    07/27/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    26 S CORIA ST SUITE C-1
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    City                 |    BROWNSVILLE
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    State                |    TX
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    Zip                  |    78520
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    Country              |    US
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    Telephone            |    956-546-0000
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    Fax                  |    956-546-0051
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Provider Business Mailing Address
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    Address Line         |    26 S CORIA ST SUITE C-1
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    City                 |    BROWNSVILLE
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    State                |    TX
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    Zip                  |    78520
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    Country              |    US
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    Telephone            |    956-546-0000
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    Fax                  |    956-546-0051
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Authorized Official
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    Title or Position    |    SECRETARY TREASURER
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    Name                 |    MRS. SULOCHANA  BENJAMIN 
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    Credential           |    
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    Telephone            |    956-546-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    R29292
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    
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    License Number State |    TX
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