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BLUE LIGHT THERAPIES LLC NPI 1457976714


NPI Information

NPI: 1457976714
Provider Name: BLUE LIGHT THERAPIES LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
421 E ROYAL LN SUITE 100
IRVING, TX
ZIP 75039
Phone: (469) 226-7516
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BLUE LIGHT THERAPIES LLC is a health service clinic center in Irving, TX. BLUE LIGHT THERAPIES LLC NPI is 1457976714. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

421 E ROYAL LN SUITE 100
IRVING, TX
ZIP 75039
Phone: (469) 226-7516

The provider's authorized official is Hannah Nur Mohamed .
The authorized official title is Ceo and has the following contact phone number (469) 226-7516.

The enumeration date for this NPI number is 6/12/2020 and was last updated on 8/31/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystNo
2261QH0100XClinic/CenterHealth ServiceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11386106623OTHERNPI

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: 5/5/2024
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