Organization · Type 2 NPI

Bluebonnet Health Center LLC

General Practice Physician · Spring Branch, TX

NPI number 1821413402 Active

Practice location

2000 Frontier
Spring Branch, TX 78070-5942

Call (713) 447-4990 Map

Mailing address

2000 Frontier Ste 250
Spring Branch, TX 78070-5942

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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NPI record

NPI: 1821413402
Entity type: Organization (Type 2)
Issued: Feb 19, 2014
Last updated: Apr 6, 2021
Status: Active

Other names

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Diabetic and Neuropathy Centers of Texas · doing business as
Diabetic and Neuropathy Centers of Texas · doing business as

Authorized official

Ms. Chyrissa Staley, N.P.
President and CEO
(713) 447-4990

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821413402

Bluebonnet Health Center LLC's National Provider Identifier is 1821413402, issued on Feb 19, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Spring Branch, TX. The record was last updated on Apr 6, 2021.