Provider Demographics
NPI:1538546486
Name:STAR OF DAVID INC
Entity type:Organization
Organization Name:STAR OF DAVID INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ISREAL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-275-2686
Mailing Address - Street 1:3122 SPRINGDALE DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5101
Mailing Address - Country:US
Mailing Address - Phone:832-275-2686
Mailing Address - Fax:866-292-3523
Practice Address - Street 1:3122 SPRINGDALE DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5101
Practice Address - Country:US
Practice Address - Phone:832-275-2686
Practice Address - Fax:866-292-3523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker