Provider Demographics
NPI:1659696060
Name:CST MEDICAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:CST MEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1877-203-2315
Mailing Address - Street 1:253 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-3026
Mailing Address - Country:US
Mailing Address - Phone:187-720-3231
Mailing Address - Fax:188-866-6029
Practice Address - Street 1:253 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-3026
Practice Address - Country:US
Practice Address - Phone:877-203-2315
Practice Address - Fax:188-866-6029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care