Blue Star Pain Management Llc

NPI 1023300076 - Clinic/Center - 261QR0200X

NPI Details
NPI 1023300076
Enumeration Date 05/10/2011
Last Updated 05/10/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RAE RAE
Position COO
Phone (214) 647-6161
Fax
Practice Location
3000 CORPORATE CT
SUITE 400A
FLOWER MOUND TX, 75028-2299, US
Phone (214) 647-6161
Fax
Business Location
3000 CORPORATE CT
SUITE 400A
FLOWER MOUND TX, 75028-2299, US
Phone (214) 647-6161
Fax
Toxanomy
Taxonomy Code 261QR0200X
License State Texas
License Number R34557
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According to our database, Blue Star Pain Management Llc NPI is 1023300076, taxonomy code is 261QR0200X and license number is R34557, license state is located at Texas. Blue Star Pain Management Llc physically located at 3000 Corporate Ct, Flower Mound TX, 75028-2299. NPI Number 1033115704 has the healthcare provider type.

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1023300076 NPI number is provided on an as is basis without warranty of any kind. 1023300076 is maintained by the National Plan & Provider Enumeration System. The contents of Blue Star Pain Management Llc are for informational purposes only.