Star Medical Specialties

LBN: Greg L Jackson
Star Medical Specialties is an health care organization with primary practice located at 4386 Sunbelt Dr , Addison TX 75001. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Parenteral & Enteral Nutrition is the primary health care specialty. Greg L Jackson can be contacted via phone (972) 380-2065, or through Jackson, Greg L via phone (972) 380-2065.

Contact Information

Primary practice address
4386 Sunbelt Dr Addison TX 75001
Phone: (972) 380-2065
Fax: (972) 380-9488
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Greg L
Phone: (972) 380-2065

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1063580843
LBN Legal business name Greg L Jackson
DBA Doing business as Star Medical Specialties
Authorized official Jackson, Greg L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Oct 24th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063580843 NPPES
Texas Other 010118001 MEDICAID CCP
Texas MEDICAID 011564401 MEDICAID CCP
Texas Other 0519596 MEDICAID CCP

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