MEDICARE: SILVERSTAR HEAITHCARE SERVICES 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	302F00000X	Exclusive Provider Organization
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1710159918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVERSTAR HEAITHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	3118 HAZY PARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3504
Country	:	US
Telephone Number	:	832-602-7471
Fax Number	:	281-589-2340

Provider Business Practice Location Address
First Line	:	3118 HAZY PARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3504
Country	:	US
Telephone Number	:	832-602-7471
Fax Number	:	281-589-2340

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. KESTER IREDIA OKPIABHELE
Credential	:
Telephone Number	:	832-602-7471

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	04/08/2008

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