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NPI Code Detail

MEDICARE: DR. BRIAN STARR M.D.

MEDICARE: DR. BRIAN STARR M.D.
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
1208VP0014XInterventional Pain Medicine PhysicianT2071TX

General Provider Information

NPI Number : 1104086859
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN STARR M.D.
Provider Business Mailing Address
First Line : 3415 PAESANOS PKWY STE 100
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78231-3501
Country : US
Telephone Number : 210-600-9766
Fax Number : 210-600-9767
Provider Business Practice Location Address
First Line : 3415 PAESANOS PKWY STE 100
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78231-3501
Country : US
Telephone Number : 210-600-9766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2008
Last Update Date : 10/24/2022

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