Star Convenientcare, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STAR CONVENIENTCARE, PA

Practice address

4301 N Macarthur Boulevard
#202
Irving, TX 75038-6497

Phone

(972) 573-7957

Fax

(972) 573-4048

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Lisa Young

Title

Cfo

Phone

(972) 255-5588

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1700296209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BOULEVARD",
            "address_2": "#202",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386497",
            "telephone_number": "972-573-7957",
            "fax_number": "972-573-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BOULEVARD",
            "address_2": "#202",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386497",
            "telephone_number": "972-573-7957",
            "fax_number": "972-573-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CONVENIENTCARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-255-5588"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Christine Stafford
• Eva Dean Stambaugh, R.N.
• Kaitlynn Stanton, OTD, OTR
• Reyna Stanton, DPT
• Star Care Family & Preventive Medicine
• Star Mobile Imaging
• Adrianna Paige Stark
• Audrey Anne Starnes
• Hayden Waugh Statham, RN
• Ashley Stclair, MS, NTP

• Family Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.