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MAYCARE PLLC NPI 1609421247


NPI Information

NPI: 1609421247
Provider Name: MAYCARE, PLLC

Doing Business As: BLUEBONNET PRIMARY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2169083

Address:
1930 RAWHIDE DR STE 404
ROUND ROCK, TX
ZIP 78681
Phone: (512) 649-0996
Get Directions

MAYCARE, PLLC is a family medicine in Round Rock, 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. MAYCARE, PLLC NPI is 1609421247. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bluebonnet Primary Care.

The provider's business location address is:

1930 RAWHIDE DR STE 404
ROUND ROCK, TX
ZIP 78681-955
Phone: (512) 649-0996
Fax: (512) 387-3555

The provider's authorized official is Mayada Ali .
The authorized official title is Physician/owner and has the following contact phone number (512) 649-0996.

The CLIA number assigned to this NPI record is 45D2169083 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2019 and was last updated on 1/12/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.