Provider Demographics
NPI:1679967632
Name:K STAR MEDICAL
Entity Type:Organization
Organization Name:K STAR MEDICAL
Other - Org Name:K STAR CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:T
Authorized Official - Middle Name:E
Authorized Official - Last Name:MEANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-785-1600
Mailing Address - Street 1:7400 HARWIN DR
Mailing Address - Street 2:STE 306
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2014
Mailing Address - Country:US
Mailing Address - Phone:713-785-1600
Mailing Address - Fax:
Practice Address - Street 1:7400 HARWIN DR
Practice Address - Street 2:STE 306
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2014
Practice Address - Country:US
Practice Address - Phone:713-785-1600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service