Provider Demographics
NPI:1457708315
Name:STAR MEDICAL ASSOCIATES PLLC
Entity Type:Organization
Organization Name:STAR MEDICAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANI
Authorized Official - Middle Name:
Authorized Official - Last Name:ANBARASU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-301-2300
Mailing Address - Street 1:2440 TIMBER RIDGE DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5040
Mailing Address - Country:US
Mailing Address - Phone:469-301-2300
Mailing Address - Fax:940-382-1005
Practice Address - Street 1:2440 TIMBER RIDGE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5040
Practice Address - Country:US
Practice Address - Phone:469-301-2300
Practice Address - Fax:940-382-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9986207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty