North Star KL, LP

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

NORTH STAR KL, LP

Practice address

4501 Heritage Trace Pkwy Ste 115
Fort Worth, TX 76244-8940

Phone

(972) 649-6460

Fax

(972) 649-6461

NPI assigned

Dec 5, 2017

Organization subpart

No

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

Authorized official

Name

David Wright

Title

Manager

Phone

(972) 649-6460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1679088207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 WINDROSE AVE STE G325",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 HERITAGE TRACE PKWY STE 115",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448940",
            "telephone_number": "972-649-6460",
            "fax_number": "972-649-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR KL, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-649-6460"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.