| North Star Holistics, LLC | |
|
8135 Nube Medina San Antonio TX 78252-4810 | |
| (210) 262-7092 | |
| Not Available |
| Full Name | North Star Holistics, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 8135 Nube Medina, San Antonio, Texas |
| Authorized Official Name and Position | Samantha Edwards (CEO) |
| Authorized Official Contact | 7262416007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Holistics, LLC 21750 Hardy Oak Blvd Ste 104 San Antonio TX 78258-4946 Ph: (210) 262-7092 | North Star Holistics, LLC 8135 Nube Medina San Antonio TX 78252-4810 Ph: (210) 262-7092 |
| NPI Number | 1811794241 |
|---|---|
| Provider Enumeration Date | 02/25/2025 |
| Last Update Date | 06/09/2026 |
| Certification Date | 06/09/2026 |
| Medicare PECOS PAC ID | 0941717771 |
|---|---|
| Medicare Enrollment ID | O20250728001442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811794241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Anthony J Oliva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467569822 PECOS PAC ID: 4082884713 Enrollment ID: I20110907000835 |
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