MY BLUEBONNET COMPANY LLC NPI 1366996647

NPI Information

MY BLUEBONNET COMPANY, LLC is a family medicine in Austin, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MY BLUEBONNET COMPANY, LLC NPI is 1366996647. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medi-weightloss Austin.

The provider's business location address is:

13359 N HIGHWAY 183
STE403
AUSTIN, TX
ZIP 78750-153
Phone: (512) 867-6200
Fax: (512) 519-1127

The provider's authorized official is Qing Liu .
The authorized official title is Business Development Manager and has the following contact phone number (512) 867-6200.

The CLIA number assigned to this NPI record is 45D2110365 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2016 and was last updated on 8/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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