NPI 1134579303

Northstar Pcp Network, LLC

Organisation Preferred Provider Organization Houston, TX

Practice location

Address: 2918 San Jacinto St Suite 150, Houston, TX 77004-2708
Phone: (734) 709-6477
Mailing address: 4114 Sablemist CT, Houston, TX 77014-2032

Authorised official

Name: Arley Gonzalez
Title: Ceo
Phone: (713) 478-3313

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1134579303
Entity type: Organization
NPI issued: 17 Jun 2016
Record last updated: 17 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.