Provider Demographics
NPI:1811569239
Name:NORTH STAR FIRST ASSIST, PLLC
Entity Type:Organization
Organization Name:NORTH STAR FIRST ASSIST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VUDHI
Authorized Official - Middle Name:V
Authorized Official - Last Name:SLABISAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-592-9955
Mailing Address - Street 1:4090 MAPLESHADE LN STE 100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-0025
Mailing Address - Country:US
Mailing Address - Phone:214-592-9955
Mailing Address - Fax:
Practice Address - Street 1:4090 MAPLESHADE LN STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-0025
Practice Address - Country:US
Practice Address - Phone:214-592-9955
Practice Address - Fax:214-592-9935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty