Capstone Health GRP LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

332BP3500X Issued in AR

Legal business name

CAPSTONE HEALTH GRP LLC

Practice address

300 Olive St Ste 505
Texarkana, AR 71854

Phone

(870) 773-2376

Fax

(870) 773-2517

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Kyle Deshotel

Title

Owner

Phone

(870) 773-2376

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275573594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OLIVE ST STE 505",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "71854",
            "telephone_number": "870-773-2376",
            "fax_number": "870-773-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLIVE ST STE 505",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "71854",
            "telephone_number": "870-773-2376",
            "fax_number": "870-773-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE HEALTH GRP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESHOTEL",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-773-2376"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AR",
            "license": "332BP3500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Caldwell
• Tommy Caldwell
• Angela Denise Calhoon, PHARMD
• Syrroy Cannon, MHPP
• Michael V Cao, LPC
• Neil Walter Carmony, D.D.S.
• Karen Carpenter, LPC
• Sherry Carpenter, MHPP
• Anthony Carrington, MHPP
• Ella Lucille Carroll, HEARING AID DISPENSE

• Parenteral & Enteral Nutrition Supplies (DME) in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.