P Praxis·MD
● Active Type 2 · Organization

Protostar Llc

Clinic/Center·Grand Prairie, TX· NPI 1689138604 · Enumerated 2019 · 7 years on NPI
Protostar Llc is 1 of 850 clinic/center organizations in Texas.
NPI age
7 years
Enumerated 2019-01-23
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kippes
Ceo
Last NPPES update
2019-01-23
Source: monthly bulk 2026-05

How this organization compares

Across 850 active clinic/center providers in Texas.

NPI age
7 years
≈ at median (8 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-01Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
2080 N State Highway 360 Ste 230
Grand Prairie, TX 750500900
📞 6828881290fax 9403127805
Mailing address
2080 N State Highway 360 Ste 230
Grand Prairie, TX 750500900
📞 2142894933

Authorized official

Ryan Kippes
Ceo
📞 2142894933

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM1300X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
    taxonomy 261QM0855X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Servant's Heart Behavioral Health Clinic
    Type code 3 recorded 2019-01-23

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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