MEDICARE: ALLSTAR HEALTHCARE, INC

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
1	251E00000X	Home Health Agency	007345	TX

General Provider Information

NPI Number	:	1255307674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLSTAR HEALTHCARE, INC

Provider Business Mailing Address
First Line	:	1100 W PIONEER PKWY
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6367
Country	:	US
Telephone Number	:	817-461-3341
Fax Number	:	817-795-7074

Provider Business Practice Location Address
First Line	:	1100 W PIONEER PKWY
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6367
Country	:	US
Telephone Number	:	817-461-3341
Fax Number	:	817-795-7074

Authorized Official
Title or Position	:	CEO
Name	:	MR. THEAN LYE KOAY
Credential	:	RN
Telephone Number	:	817-461-3341

Provider Enumeration Date	:	02/25/2006
Last Update Date	:	12/09/2008

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Directions to “ALLSTAR HEALTHCARE, INC ” Practice Location

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