Provider Demographics
NPI:1386677672
Name:TEX-STAR DME, INC.
Entity Type:Organization
Organization Name:TEX-STAR DME, INC.
Other - Org Name:TEX-STAR DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:F
Authorized Official - Last Name:CARBAJAL
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:956-682-3044
Mailing Address - Street 1:3421 W ALBERTA RD
Mailing Address - Street 2:STE B
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539
Mailing Address - Country:US
Mailing Address - Phone:956-682-3044
Mailing Address - Fax:956-682-3036
Practice Address - Street 1:3421 W ALBERTA RD
Practice Address - Street 2:STE B
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-682-3044
Practice Address - Fax:956-682-3036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0090272332B00000X, 332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183400401Medicaid
TX183400402Medicaid
TX183400401Medicaid