Provider Demographics
NPI:1609244268
Name:ASTROCYTE
Entity Type:Organization
Organization Name:ASTROCYTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:R EEG TECH
Authorized Official - Phone:214-437-1932
Mailing Address - Street 1:4622 LAKEPOINTE AVE
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-6861
Mailing Address - Country:US
Mailing Address - Phone:214-437-1932
Mailing Address - Fax:214-590-6936
Practice Address - Street 1:4622 LAKEPOINTE AVE
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-6861
Practice Address - Country:US
Practice Address - Phone:214-437-1932
Practice Address - Fax:214-590-6936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3128273100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273100000XHospital UnitsEpilepsy Unit