Provider Information for 1104530237
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
MONICA URICH STAROVIC
Sex: Female
NPI: 1104530237
Last Updated: 2024-12-30
Certification Date: 2024-12-30
Certification Date: 2024-12-30
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1104530237 | ||||||||||||||||
| Enumeration Date | 2023-01-12 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 33020 LONDONDERRY DR WALLER, TX 77484-5912 United States Phone: 936-615-8644 | Fax: | ||||||||||||||||
| Primary Practice Address | 33020 LONDONDERRY DR WALLER, TX 77484-5912 United States Phone: 936-615-8644 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||
| Other Identifiers |
| ||||||||||||||||
| Taxonomy |
|