Provider Demographics
NPI:1710134648
Name:STAR ANESTHESIA AND COMPREHENSIVE SPINE/PAIN MANAGEMENT
Entity Type:Organization
Organization Name:STAR ANESTHESIA AND COMPREHENSIVE SPINE/PAIN MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT STAR ANESTHESIA AND COMPR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:BINU
Authorized Official - Last Name:KURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-497-7313
Mailing Address - Street 1:1809 GOLDEN TRAIL CT STE 110
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4667
Mailing Address - Country:US
Mailing Address - Phone:972-316-7270
Mailing Address - Fax:972-492-5345
Practice Address - Street 1:1809 GOLDEN TRAIL CT STE 110
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4667
Practice Address - Country:US
Practice Address - Phone:972-316-7270
Practice Address - Fax:972-492-5345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9300207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty