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FIVE STAR ER LLC NPI 1245636349


NPI Information

NPI: 1245636349
Provider Name: FIVE STAR ER LLC
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
1700 ROUND ROCK AVENUE
ROUND ROCK, TX
ZIP 78681
Phone: (281) 209-8921
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FIVE STAR ER LLC is an emergency care clinic center in Round Rock, TX. FIVE STAR ER LLC NPI is 1245636349. The provider is registered as an organization entity type.

The provider's business location address is:

1700 ROUND ROCK AVENUE
ROUND ROCK, TX
ZIP 78681
Phone: (281) 209-8921
Fax: (281) 209-8930

The provider's authorized official is Cheryl Conner .
The authorized official title is Ceo and has the following contact phone number (281) 209-8921.

The enumeration date for this NPI number is 11/17/2014 and was last updated on 2/3/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0002XClinic/CenterEmergency Care160148TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HH152EOTHERTEXASBCBSTX

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: 5/5/2024

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