Provider Demographics
NPI:1912190240
Name:HEALTHSTAR, LLP
Entity Type:Organization
Organization Name:HEALTHSTAR, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KWON
Authorized Official - Suffix:
Authorized Official - Credentials:MSM
Authorized Official - Phone:713-807-1500
Mailing Address - Street 1:PO BOX 890008
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77289-0008
Mailing Address - Country:US
Mailing Address - Phone:713-807-1500
Mailing Address - Fax:713-527-8558
Practice Address - Street 1:8876 GULF FWY STE 415
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-6544
Practice Address - Country:US
Practice Address - Phone:713-807-1500
Practice Address - Fax:713-527-8558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
676633Medicare PIN