Organization · Type 2 NPI
Mysti Blu LLC
Infusion Therapy Clinic/Center · Carrollton, TX
NPI number
1609550219
Active
Practice location
2459 E. Hebron Parkway, #130
Carrollton, TX 75010
Fax (469) 546-9723
Mailing address
3333 Preston Road, #300
Frisco, TX 75034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | None listed |
| Home Infusion Agency | 251F00000X | None listed |
| Infusion Therapy Clinic/Center Primary | 261QI0500X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
Infusion Therapy Clinic/Center: Definition to come...
Other infusion therapy clinic/center providers in Carrollton
About NPI 1609550219
Mysti Blu LLC's National Provider Identifier is 1609550219, issued on Jun 14, 2023. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Carrollton, TX. The record was last updated on Mar 17, 2025.