Provider Demographics
NPI:1497339139
Name:DALLAS STAR MD PLLC
Entity Type:Organization
Organization Name:DALLAS STAR MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:SADIQ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:430-206-6006
Mailing Address - Street 1:1200 JUPITER RD UNIT 942087
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75094-0319
Mailing Address - Country:US
Mailing Address - Phone:469-301-0288
Mailing Address - Fax:
Practice Address - Street 1:318 W FM 544 STE B1
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4652
Practice Address - Country:US
Practice Address - Phone:430-206-6006
Practice Address - Fax:501-904-8176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty