Star Pediatric Group Pllc

NPI #1174008692 in Lewisville, Texas

Provider Information

NPI Number: 1174008692
Entity Type: Organization
Organization Name: Star Pediatric Group Pllc
Primary Specialty: Pediatrics
Enumeration Date: Oct 1, 2018
Last Updated: Oct 15, 2019

Practice Location

Address: 541 W MAIN ST # 110
City: Lewisville
State: Texas
ZIP Code: 75057-3628
Phone: (718) 578-7866

Authorized Official

Name: DR. AFSER TASNEEM, MD
Title: PARTNER
Phone: (718) 578-7866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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