Star State Heart & Vascular Pllc

LBN: Star State Heart Pllc
Star State Heart & Vascular Pllc is an health care organization with primary practice located at 200 Medical Pkwy Suite 270, Lakeway TX 78738-1782. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is the primary health care specialty. Star State Heart Pllc can be contacted via phone (512) 263-0123, or through Demaio, Samuel J. via phone (512) 263-0123.

Contact Information

Primary practice address
200 Medical Pkwy Suite 270 Lakeway TX 78738-1782
Phone: (512) 263-0123
Fax: (512) 367-5841
Website:
Map and Directions
Authorized official contact:
Name: Demaio, Samuel J. Doctor of Medicine (MD)
Phone: (512) 263-0123

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G6655 Texas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G6655 Texas

Profile Details

NPI number 1477884740
LBN Legal business name Star State Heart Pllc
DBA Doing business as Star State Heart & Vascular Pllc
Authorized official Demaio, Samuel J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2010
Last updated Nov 8th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477884740 NPPES
Texas Other 134703111 MEDICAID
Texas Other 211911702 MEDICAID
Texas Other TXB144746 MEDICAID
Texas Other TXB144747 MEDICAID
Texas Other 8F24108 MEDICAID

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