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NPI Code Detail

MEDICARE: STAR HEALTH & REHAB, PA

MEDICARE: STAR HEALTH & REHAB, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianN55081TX

General Provider Information

NPI Number : 1033402466
Entity Type Code : Organization
Provider Name (Legal Business Name) : STAR HEALTH & REHAB, PA
Provider Business Mailing Address
First Line : 656 W PENINSULA DR
Second Line :
City : COPPELL
State : TX
Zip : 75019-6099
Country : US
Telephone Number : 214-808-7704
Fax Number : 972-462-6605
Provider Business Practice Location Address
First Line : 1410 E SANDY LAKE RD
Second Line :
City : COPPELL
State : TX
Zip : 75019-3119
Country : US
Telephone Number : 214-808-7704
Fax Number : 972-462-6605
Authorized Official
Title or Position : OWNER / PROVIDER
Name : DR. LING ZHANG
Credential : MD
Telephone Number : 214-808-7704
Provider Enumeration Date : 05/18/2011
Last Update Date : 05/18/2011

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Directions to “STAR HEALTH & REHAB, PA ” Practice Location

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