| Organization Name: | STAR STATE HEART, PLLC |
| NPI Number: | 1184947368 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL JAMES DEMAIO (SOLE MBR) |
| Mailing Address: | 1008 Ranch Road 620 S Suite 201 Lakeway |
| State: | TX US |
| Postal Code: | 787345631 |
| Phone Number: | 5123347855 |
| Fax Number: | 5124456095 |
| NPI Enumeration Date: | 03/02/2010 |
| NPI Last Update Date: | 03/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | G6655 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |