Provider Demographics
NPI:1346246170
Name:STARR DME & PHARMACY INC
Entity Type:Organization
Organization Name:STARR DME & PHARMACY INC
Other - Org Name:TRINITY DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-554-3560
Mailing Address - Street 1:620 PAREDES LINE RD
Mailing Address - Street 2:STE A
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-2440
Mailing Address - Country:US
Mailing Address - Phone:956-554-3560
Mailing Address - Fax:956-554-3562
Practice Address - Street 1:620 PAREDES LINE RD
Practice Address - Street 2:STE A
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2440
Practice Address - Country:US
Practice Address - Phone:956-554-3560
Practice Address - Fax:956-554-3562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2097221OtherPK
TX146577Medicaid
5492260001Medicare NSC