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NPI Code Detail

MEDICARE: CAROL L STARR FNP

MEDICARE:   CAROL L STARR  FNP
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
1363LF0000XFamily Nurse Practitioner225319TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00153941OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
28N7918OTHERTXBCBS OF TEXAS

General Provider Information

NPI Number : 1740283076
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL L STARR FNP
Provider Business Mailing Address
First Line : 1380 RIVER BEND DR
Second Line :
City : DALLAS
State : TX
Zip : 75247-4914
Country : US
Telephone Number : 214-743-6159
Fax Number : 214-689-6482
Provider Business Practice Location Address
First Line : 3330 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-4531
Country : US
Telephone Number : 214-371-6639
Fax Number : 214-372-6199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 05/13/2009

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Directions to “ CAROL L STARR FNP” Practice Location

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