MEDICARE: STELLAR CARE PHYSICIANS GROUP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163WH0200X	Home Health Registered Nurse
2	202K00000X	Phlebology Physician
3	207QA0505X	Adult Medicine Physician
4	208100000X	Physical Medicine & Rehabilitation Physician
5	208VP0000X	Pain Medicine Physician
6	2251G0304X	Geriatric Physical Therapist
7	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1437929700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STELLAR CARE PHYSICIANS GROUP

Provider Business Mailing Address
First Line	:	4009 SAHARA CT
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4237
Country	:	US
Telephone Number	:	214-927-4567
Fax Number	:	469-621-2209

Provider Business Practice Location Address
First Line	:	4009 SAHARA CT
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4237
Country	:	US
Telephone Number	:	214-927-4567
Fax Number	:	469-621-2209

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PHILLIP CATES
Credential	:
Telephone Number	:	214-927-4567

Provider Enumeration Date	:	01/08/2024
Last Update Date	:	05/22/2024

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