BLUEBONNET HEALTH CENTER LLC (NPI# 1821413402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821413402 |
| Entity Type | Organization |
| Organization Name | BLUEBONNET HEALTH CENTER LLC |
| Other Organization Name | DIABETIC AND NEUROPATHY CENTERS OF TEXAS |
| Practice Address |
9900 Westpark Dr Suite 250 Houston TX 77063-5277 |
| Practice Telephone | 7137828500 |
| Mailing Telephone | 7137828500 |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | MS. CHYRISSA STALEY (PRESIDENT AND CEO) |
| Authorized Official Telephone | 7137828500 |
| Authorized Official Credential | N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Diabetic and Neuropathy Centers of Texas | Doing Business As Name - Organization |
| Street Address |
9900 WESTPARK DR SUITE 250 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77063-5277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982659488 | Victorian Healthcare Services, Inc. | Home Health | 9900 Westpark Dr, Suite 261, Houston, TX 77063-5277 | 2006-05-23 |
| 1851899504 | Carolina Maria Cantu | Specialist/Technologist | 9900 Westpark Dr, Houston, TX 77063-5277 | 2018-01-29 |
| 1144756974 | Steven Neil Campbell | Physical Therapy Assistant | 9900 Westpark Dr, Suite 100, Houston, TX 77063-5277 | 2017-05-11 |
| 1427581644 | Vy Thai | Occupational Therapist | 9900 Westpark Dr, Suite 100, Houston, TX 77063-5277 | 2017-04-05 |
| 1902347883 | Deanna Sanfacon | Occupational Therapy Assistant | 9900 Westpark Dr, Suite 100, Houston, TX 77063-5277 | 2017-03-13 |
| 1831639905 | Kristen Grammas | Occupational Therapist | 9900 Westpark Dr, Houston, TX 77063-5277 | 2017-03-08 |
| 1912445131 | Allison Patin | Occupational Therapist | 9900 Westpark Dr, Suite # 100, Houston, TX 77063-5277 | 2017-02-08 |
| 1861930083 | Kimberly Sepulveda | Specialist/Technologist | 9900 Westpark Dr, Suite # 100, Houston, TX 77063-5277 | 2017-02-08 |
| 1003363219 | Stephanie Wong | Occupational Therapist | 9900 Westpark Dr, Suite 100, Houston, TX 77063-5277 | 2016-09-06 |
| 1356896948 | Lailah Rodriguez Brache | Speech-Language Pathologist | 9900 Westpark Dr, Suite 100, Houston, TX 77063-5277 | 2016-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443266 | Diagnostic Enterprises | Clinical Medical Laboratory | 2540 Fondren Road, Suite 265, Houston, TX 77063 | 2020-07-06 |
| 1184247926 | Two Hands Pllc | Day Training, Developmentally Disabled Services | 3945 Braxton Dr Ste 1, Houston, TX 77063 | 2020-05-27 |
| 1700445376 | Diana Carter | Licensed Vocational Nurse | 1602 S City Oak Ln, Houston, TX 77063 | 2019-06-07 |
| 1952964264 | Pamela Lowrance | Specialist | 8401 Westhiemer Rd. #503, Inside Blue Lion Salon Studios, Houston, TX 77063 | 2019-04-22 |
| 1104381649 | Jaileen Grullon | Physical Therapy Assistant | 9638 Beverlyhill Street, Houston, TX 77063 | 2019-02-08 |
| 1134696826 | Adriane De Freitas Barroso | Psychologist | 7670 Woodway Dr Ste 360, Houston, TX 77063 | 2018-10-31 |
| 1740765932 | Sean A Maxwell | Physical Therapist | 2500 Fondern Road, Suite 302, Houston, TX 77063 | 2018-10-03 |
| 1578065074 | Johannah Sommer Garza | Psychologist | 7660 Woodway Dr Ste 599, Houston, TX 77063 | 2018-03-01 |
| 1477069995 | Modern Med Health Solutions LLC | Nurse Practitioner | 9950 Westpark Dr Ste 312, Houston, TX 77063 | 2017-12-20 |
| 1306360177 | Desmond Eugene Blake Sr. | Specialist | 3201 Fondren Rd, Houston, TX 77063 | 2017-08-02 |
| Find all providers in zip 77063 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151472 | Canice Chukwuocha | General Practice | 3030 Elmside Dr Apt 179, Houston, TX 77042-3926 | 2020-07-15 |
| 1902424518 | Medkare | General Practice | 2426 Lake Kolbe Ln, Houston, TX 77080-2562 | 2020-07-09 |
| 1477191757 | Holistic Innovative Interventional Pain Associates Pllc | General Practice | 4615 Southwest Freeway #850, Houston, TX 77027 | 2019-12-17 |
| 1467019109 | Eldere Germain | General Practice | 5850 Duxbury St, Houston, TX 77035-4211 | 2019-05-28 |
| 1235697822 | Joy Ileruwa Ebomwonyi | General Practice | 17567 Imperial Valley Dr, Houston, TX 77060-7706 | 2019-03-04 |
| 1194295030 | Westheimer Medical Group Pllc | General Practice | 5433 Westheimer Rd Ste 275, Houston, TX 77056-5331 | 2018-12-04 |
| 1538639638 | Clear Mind Agency LLC | General Practice | 1300 N Post Oak Rd, Houston, TX 77055-5431 | 2018-11-30 |
| 1346739158 | Abc Solutions Group Corp | General Practice | 10333 Harwin Dr Ste 530l, Houston, TX 77036-1545 | 2018-05-07 |
| 1073018768 | V & V Medical Management | General Practice | 13626 Veterans Memorial Dr Ste F, Houston, TX 77014 | 2018-03-26 |
| 1942703525 | Victor Yosef Melt Campos | General Practice | 1220 W Pierce St, Houston, TX 77019-4146 | 2018-03-09 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.