Provider Demographics
NPI:1366996001
Name:ASTERA PERSONAL ASSISTANCE SERVICE, LLC
Entity type:Organization
Organization Name:ASTERA PERSONAL ASSISTANCE SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BROCK
Authorized Official - Middle Name:
Authorized Official - Last Name:WENDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-997-5941
Mailing Address - Street 1:8330 LBJ FWY STE 710
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1254
Mailing Address - Country:US
Mailing Address - Phone:972-997-5941
Mailing Address - Fax:972-499-1864
Practice Address - Street 1:8330 LBJ FWY STE 710
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1254
Practice Address - Country:US
Practice Address - Phone:972-997-5941
Practice Address - Fax:972-499-1864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016405253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care