Provider Demographics
NPI:1871182592
Name:STAR WELLNESS AND HEALTH PLLC
Entity type:Organization
Organization Name:STAR WELLNESS AND HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:INGY
Authorized Official - Middle Name:
Authorized Official - Last Name:ISKANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-752-7178
Mailing Address - Street 1:PO BOX 93752
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-0117
Mailing Address - Country:US
Mailing Address - Phone:302-752-7178
Mailing Address - Fax:628-246-8398
Practice Address - Street 1:8217 MID CITIES BLVD STE 300
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-4735
Practice Address - Country:US
Practice Address - Phone:817-770-0933
Practice Address - Fax:628-246-8398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-17
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty