| Star Family Medicine | |
|
933 Hilltop Dr Ste 100 Weatherford TX 76086 | |
| (817) 341-7670 | |
| Not Available |
| Full Name | Star Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 933 Hilltop Dr Ste 100, Weatherford, Texas |
| Authorized Official Name and Position | Adam Khadbai (PROVIDER/OWNER) |
| Authorized Official Contact | 9723390362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Family Medicine 933 Hilltop Dr Ste 100 Weatherford TX 76086-8808 Ph: (817) 341-7670 | Star Family Medicine 933 Hilltop Dr Ste 100 Weatherford TX 76086 Ph: (817) 341-7670 |
| NPI Number | 1275027385 |
|---|---|
| Provider Enumeration Date | 06/21/2018 |
| Last Update Date | 03/21/2019 |
| Medicare PECOS PAC ID | 7315296639 |
|---|---|
| Medicare Enrollment ID | O20180821000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275027385 | NPI | - | NPPES |
| 391429301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | Q6043 (Texas) | Primary |
| Provider Name | Adam Khadbai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144588401 PECOS PAC ID: 9931400736 Enrollment ID: I20151221002143 |
| Provider Name | Debra Mulloy Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437749488 PECOS PAC ID: 0143639450 Enrollment ID: I20210524002565 |
| Provider Name | Amy Lynne Free |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942972773 PECOS PAC ID: 6204227762 Enrollment ID: I20220114000047 |
| Provider Name | Brandee Shalese Pemberton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154883569 PECOS PAC ID: 1951787852 Enrollment ID: I20220929002947 |
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