Provider Demographics
NPI:1790114221
Name:STARBRIDGE HOSPITALIST GROUP, PLLC
Entity Type:Organization
Organization Name:STARBRIDGE HOSPITALIST GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:REININGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-394-0260
Mailing Address - Street 1:1331 W GRAND PKWY N
Mailing Address - Street 2:SUITE 230
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2710
Mailing Address - Country:US
Mailing Address - Phone:281-394-0260
Mailing Address - Fax:
Practice Address - Street 1:23900 KATY FWY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1323
Practice Address - Country:US
Practice Address - Phone:281-644-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty