Silver Star Medical Resources, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

Q0036 Issued in TX

Legal business name

SILVER STAR MEDICAL RESOURCES, LLC

Practice address

1905 W Ennis Ave Ste 500
Ennis, TX 75119-3627

Phone

(214) 442-8908

Fax

(214) 442-8907

NPI assigned

Dec 21, 2016

Last updated

Nov 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamie L Hellman

Title

Admin

Phone

(214) 442-8908

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1225573603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821868",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753821868",
            "fax_number": "214-442-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W ENNIS AVE STE 500",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751193627",
            "telephone_number": "214-442-8908",
            "fax_number": "214-442-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STAR MEDICAL RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "HELLMAN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "214-442-8908"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "Q0036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Ennis, TX
• Providers in Ennis, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.