Provider Demographics
NPI:1679833644
Name:STARSTONE MEDICAL LLC
Entity Type:Organization
Organization Name:STARSTONE MEDICAL LLC
Other - Org Name:STARSTONE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERAGOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-727-8341
Mailing Address - Street 1:3145 MAIN ST.
Mailing Address - Street 2:235-157
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034
Mailing Address - Country:US
Mailing Address - Phone:214-727-8341
Mailing Address - Fax:214-383-9655
Practice Address - Street 1:3145 MAIN ST.
Practice Address - Street 2:235-157
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:214-727-8341
Practice Address - Fax:214-383-9655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies