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General NPI Number Information
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NPI Number | 1871182592
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Entity Type | Organization
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Legal Business Name | STAR WELLNESS AND HEALTH PLLC
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Dates
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Enumeration Date | 01/17/2021
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 8217 MID CITIES BLVD STE 300
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-4735
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Country | US
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Telephone | 817-770-0933
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Fax | 628-246-8398
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Provider Business Mailing Address
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Address Line | PO BOX 93752
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City | SOUTHLAKE
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State | TX
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Zip | 76092-0117
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Country | US
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Telephone | 302-752-7178
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Fax | 628-246-8398
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. INGY ISKANDER
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Credential | MD
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Telephone | 302-752-7178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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