Protostar Llc

LBN: Protostar Llc
Protostar Llc is an health care organization with primary practice located at 2080 N State Highway 360 Ste 230 , Grand Prairie TX 75050-0900. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Protostar Llc can be contacted via phone (682) 888-1290, or through Kippes, Ryan via phone (214) 289-4933.

Contact Information

Primary practice address
2080 N State Highway 360 Ste 230 Grand Prairie TX 75050-0900
Phone: (682) 888-1290
Fax: (940) 312-7805
Website:
Map and Directions
Authorized official contact:
Name: Kippes, Ryan
Phone: (214) 289-4933

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1689138604
LBN Legal business name Protostar Llc
DBA Doing business as
Authorized official Kippes, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2019
Last updated Jan 23rd, 2019 - 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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