Active NPI
Star CPD Services LLC
- Pulmonary Disease Physician
- Sulphur Springs, TX
National Provider Identifier
1194804716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- STAR CPD SERVICES LLC
- Practice address
- 513 County Road 3640
Sulphur Springs, TX 75482-3650 - Phone
- (866) 586-8919
- Fax
- (866) 586-8918
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virginia L Davis, MS
- Title
- Manager
- Phone
- (866) 586-8919
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
513 County Road 3640
Sulphur Springs, TX 75482-3650
Mailing address
511 County Road 3640
Sulphur Springs, TX 75482-6917
Phone (866) 586-8919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FTSP37 | Other | TX | MULTISPECIALTY207RP1001X PULMONARY DISEASE, MULTISPEIALTY207RSO012XSLEEP MEDICIN |
National Provider Directory
National Provider DirectoryLocations
513 County Road 3640
Sulphur Springs, TX 75482
Phone (866) 586-8919
511 County Road 3640
Sulphur Springs, TX 75482
Phone (903) 885-3173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312329600000",
"number": "1194804716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 COUNTY ROAD 3640",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754826917",
"telephone_number": "866-586-8919",
"fax_number": "866-586-8918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 COUNTY ROAD 3640",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754823650",
"telephone_number": "866-586-8919",
"fax_number": "866-586-8918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR CPD SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2011-08-03",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "866-586-8919",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTISPECIALTY207RP1001X PULMONARY DISEASE, MULTISPEIALTY207RSO012XSLEEP MEDICIN",
"identifier": "FTSP37",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sulphur Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.