National Medistar Healthcare Solutions, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0105845 Issued in TX

Legal business name

NATIONAL MEDISTAR HEALTHCARE SOLUTIONS, LLC

Practice address

3220 W Southlake Blvd
Suite P
Southlake, TX 76092-6752

Phone

(817) 993-1093

Fax

(817) 993-0000

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Khalid Islam, MBA

Title

Owner

Phone

(817) 993-1093

Specialties & licenses 1

Addresses

Other names 1

• MediStar Healthcare Solutions Doing business as

Locations

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293840000000",
    "number": "1114174307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 W SOUTHLAKE BLVD",
            "address_2": "SUITE P",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926752",
            "telephone_number": "817-993-1093",
            "fax_number": "817-993-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 W SOUTHLAKE BLVD",
            "address_2": "SUITE P",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926752",
            "telephone_number": "817-993-1093",
            "fax_number": "817-993-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MEDISTAR HEALTHCARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2011-01-01",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-993-1093",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0105845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MediStar Healthcare Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Southlake, TX
• Providers in Southlake, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2011; 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.