Pro Star Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRO STAR MEDICAL

Practice address

4100 Spring Valley
Suite 642
Dallas, TX 75244-3629

Phone

(888) 586-7764

Fax

(214) 279-9700

NPI assigned

Sep 2, 2016

Organization subpart

No

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

Authorized official

Name

Kimberly Norris Elliott

Title

Coo

Phone

(817) 996-5304

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1528515988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SPRING VALLEY",
            "address_2": "SUITE 642",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443629",
            "telephone_number": "888-586-7764",
            "fax_number": "214-279-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SPRING VALLEY",
            "address_2": "SUITE 642",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443629",
            "telephone_number": "888-586-7764",
            "fax_number": "214-279-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO STAR MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "NORRIS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "817-996-5304"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E. Pritzlaff, M.S., C.G.C.
• Giovanna Privitera
• Shilpi Priyadarshini, DDS
• PRM Texas Gynecology PC
• Pro Med Anesthesia Consultants PLLC
• Pro Therapy Source LLC (A & M Home Health Care)
• Pro-Active Life Treatment Center
• Pro-Med Nemt Services LLC
• Pro-Tech-Tive Neuromonitoring, LLC
• Proactive International (Prestonwood Counseling Center)

• Durable Medical Equipment & Medical Supplies in Dallas, TX
• Providers in Dallas, 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 Dec 14, 2016; 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.