Provider Demographics
NPI:1316023666
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:OWNER/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:PRESTON
Authorized Official - Last Name:GAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-251-5977
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 1:11436 ROJAS DR
Practice Address - Street 2:SUITE B-6
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6471
Practice Address - Country:US
Practice Address - Phone:915-629-7174
Practice Address - Fax:915-629-7224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-30
Last Update Date:2012-10-03
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
TX016039202Medicaid
TX532675OtherBLUE CROSS
TX016039201Medicaid
TX107662203Medicaid
TX001002072Medicaid
TX107662201Medicaid
TX144175001Medicaid
TX0880000002Medicare NSC