Provider Demographics
NPI:1497421259
Name:STARNES, IRIS CLAIRE
Entity Type:Individual
Prefix:
First Name:IRIS
Middle Name:CLAIRE
Last Name:STARNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7474 N GRAND PKWY W STE 300
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-1571
Mailing Address - Country:US
Mailing Address - Phone:281-374-5440
Mailing Address - Fax:281-374-5445
Practice Address - Street 1:7474 N GRAND PKWY W STE 300
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-1571
Practice Address - Country:US
Practice Address - Phone:281-374-5440
Practice Address - Fax:281-374-5445
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2038065225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant