Basic Information
| Provider Information | |||||||||
| NPI: | 1326672635 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STARNES SURGICAL ASSOCIATES PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 837 | ||||||||
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| City: | HOWE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 754590837 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9034872248 | ||||||||
| FaxNumber: | 9034872306 | ||||||||
| Practice Location | |||||||||
| Address1: | 2627 N MASTERS DR | ||||||||
| Address2: | |||||||||
| City: | SHERMAN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750902508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9037710810 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/25/2020 | ||||||||
| LastUpdateDate: | 07/25/2022 | ||||||||
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| AuthorizedOfficialLastName: | STARNES | ||||||||
| AuthorizedOfficialFirstName: | CODY | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9034872248 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 07/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.