BLUE STAR REHABILITATION PLANO LLC NPI 1902425093

NPI Information

BLUE STAR REHABILITATION PLANO LLC is a family medicine in Plano, 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. BLUE STAR REHABILITATION PLANO LLC NPI is 1902425093. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2600 AVENUE K
160
PLANO, TX
ZIP 75074
Phone: (972) 476-9036
Fax: (972) 476-9926

The provider's authorized official is Chris Paul Green .
The authorized official title is Owner and has the following contact phone number (972) 445-4134.

The CLIA number assigned to this NPI record is 45D2236766 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2020 and was last updated on 4/9/2020.

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:

Other Identifiers

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