MEDICARE: NORTH STAR INTERNAL MEDICINE PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1285505529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH STAR INTERNAL MEDICINE PLLC

Provider Business Mailing Address
First Line	:	8230 WALNUT HILL LN STE 410
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4469
Country	:	US
Telephone Number	:	214-420-9307
Fax Number	:	833-764-3865

Provider Business Practice Location Address
First Line	:	8230 WALNUT HILL LN STE 410
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4469
Country	:	US
Telephone Number	:	214-420-9307
Fax Number	:	833-764-3865

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	NATALIA PALACIO
Credential	:	MD
Telephone Number	:	214-883-1234

Provider Enumeration Date	:	09/17/2025
Last Update Date	:	09/17/2025

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