Organization Active NPI

Star Treatment Healthcare Services and Med Spa

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1407596794
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STAR TREATMENT HEALTHCARE SERVICES AND MED SPA
Practice address
7125 Marvin D Love Fwy Ste 207
Dallas, TX 75237-3155
Phone
(469) 709-8237
Fax
(214) 387-1161
NPI assigned
Apr 1, 2022
Last updated
Apr 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Mrs. Andrea C Beavers, PA-CNPI 1033349303
Title
Physician Assistant
Phone
(469) 709-8237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

7125 Marvin D Love Fwy Ste 207
Dallas, TX 75237-3155

Mailing address

7125 Marvin D Love Fwy Ste 207
Dallas, TX 75237-3155
Phone (469) 709-8237

National Provider Directory

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": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1407596794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 MARVIN D LOVE FWY STE 207",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373155",
            "telephone_number": "469-709-8237",
            "fax_number": "214-387-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 MARVIN D LOVE FWY STE 207",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373155",
            "telephone_number": "469-709-8237",
            "fax_number": "214-387-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR TREATMENT HEALTHCARE SERVICES AND MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "BEAVERS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "469-709-8237",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.