Provider Demographics
NPI:1124041462
Name:ALLSTAR PARTNERS LP
Entity Type:Organization
Organization Name:ALLSTAR PARTNERS LP
Other - Org Name:ALL STAR MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:YULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-458-4589
Mailing Address - Street 1:1101 PECAN ST W STE 8
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2607
Mailing Address - Country:US
Mailing Address - Phone:512-251-5977
Mailing Address - Fax:512-251-6017
Practice Address - Street 1:1101 PECAN ST W STE 8
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2607
Practice Address - Country:US
Practice Address - Phone:512-251-5977
Practice Address - Fax:512-251-6017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001015004OtherMDCP - REGION 5
TX144175001Medicaid
TX001015009OtherMDCP - REGION 10
TX016039201Medicaid
TX107662205Medicaid
TX532675OtherBLUE CROSS BLUE SHIELD
TX001015006OtherMDCP-REGION7
TX001015007OtherMDCP - REGION 8
TX001015010OtherMDCP - REGION 11
TX107662201Medicaid
TX001015008OtherMDCP - REGION 9
TX016039202Medicaid
TX515064OtherBLUE CROSS
TX107662204Medicaid
TX107662206Medicaid
TX107662203Medicaid
TX532674OtherBLUE CROSS BLUE SHIELD
TX001015005OtherMDCP- REGION 6
TX016039202Medicaid
TX107662203Medicaid
TX001015009OtherMDCP - REGION 10
TX016039201Medicaid
TX016039202Medicaid