Provider Demographics
NPI:1942782883
Name:HEALTHSTAR PHYSICIANS, P.C.
Entity Type:Organization
Organization Name:HEALTHSTAR PHYSICIANS, P.C.
Other - Org Name:HEALTHSTAR PHYSICIANS, PC--OKN
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ODESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRABSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-581-5925
Mailing Address - Street 1:121 NEWPORT TOWNE CTR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37821-7391
Mailing Address - Country:US
Mailing Address - Phone:423-532-8621
Mailing Address - Fax:423-532-8704
Practice Address - Street 1:121 NEWPORT TOWNE CTR
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-7391
Practice Address - Country:US
Practice Address - Phone:423-532-8621
Practice Address - Fax:423-532-8704
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHSTAR PHYSICIANS, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-06
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty