Organization · Type 2 NPI
Star Formula Inc
Parenteral & Enteral Nutrition Supplies (DME) · Dallas, TX
NPI number
1669949046
Active
Practice location
428 E Jefferson Blvd Ste 123
Dallas, TX 75203-5613
Fax (915) 942-2920
Mailing address
4386 Sunbelt Dr
Addison, TX 75001-5611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Parenteral & Enteral Nutrition Supplies (DME) Primary | 332BP3500X | None listed |
Parenteral & Enteral Nutrition Supplies (DME): Definition to come...
Other parenteral & enteral nutrition supplies (dme) providers in Dallas
About NPI 1669949046
Star Formula Inc's National Provider Identifier is 1669949046, issued on Oct 24, 2018. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Dallas, TX. The record was last updated on Oct 24, 2018.