Organization Active NPI

Texas Family and Occupational Health Services I, Inc.

Doing business as Star Medical Group

  • Family Medicine Physician
  • Farmers Branch, TX
National Provider Identifier
1053352310
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEXAS FAMILY AND OCCUPATIONAL HEALTH SERVICES I, INC.
Doing business as
Star Medical Group
Practice address
2300 Valley View LN
Suite 100
Farmers Branch, TX 75234-5753
Phone
(214) 572-8835
Fax
(972) 759-1518
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeff A Vitt
Title
President
Phone
(214) 572-8835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2300 Valley View LN
Suite 100
Farmers Branch, TX 75234-5753

Mailing address

Pob 810478
Dallas, TX 75381-0478
Phone (214) 572-8835

Other identifiers 1

IdentifierTypeStateIssuer
1780942MedicaidTX

Other names 1

  • Star Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Excel Occupational Clinics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1053352310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 810478",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753810478",
            "telephone_number": "214-572-8835",
            "fax_number": "972-759-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 VALLEY VIEW LN",
            "address_2": "SUITE 100",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752345753",
            "telephone_number": "214-572-8835",
            "fax_number": "972-759-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS FAMILY AND OCCUPATIONAL HEALTH SERVICES I, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "VITT",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-572-8835",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780942",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.