Star Surgical Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

STAR SURGICAL SERVICES

Practice address

1631 Lancaster Dr Ste 240
Grapevine, TX 76051-3586

Phone

(817) 741-4144

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Shari Kushwaha, MD

Title

Member/Physician

Phone

(817) 312-2246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1700428331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STOCKTON DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760922229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 LANCASTER DR STE 240",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513586",
            "telephone_number": "817-741-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "KUSHWAHA",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "MEMBER/PHYSICIAN",
        "authorized_official_telephone_number": "817-312-2246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.