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SILVER STAR MEDICAL SUPPLIES AND EQUIPMENT NPI 1235192204


NPI Information

NPI: 1235192204
Provider Name: SILVER STAR MEDICAL SUPPLIES AND EQUIPMENT
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1106 CLAYTON LN
548W
AUSTIN, TX
ZIP 78723
Phone: (512) 453-5511
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SILVER STAR MEDICAL SUPPLIES AND EQUIPMENT is a durable medical equipment medical supplies in Austin, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SILVER STAR MEDICAL SUPPLIES AND EQUIPMENT NPI is 1235192204. The provider is registered as an organization entity type.

The provider's business location address is:

1106 CLAYTON LN
548W
AUSTIN, TX
ZIP 78723-066
Phone: (512) 453-5511
Fax: (512) 380-9459

The provider's authorized official is Sunday Effiong .
The authorized official title is Owner and has the following contact phone number (512) 453-5511.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies0066378TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1177627001MEDICAIDTEXAS
24781250001MEDICARE ID-TYPE UNSPECIFIEDTEXAS
3=========OTHERTEXASHEALTHSMART PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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