NPIMap

Organization Active NPI

Blue Star Pain Management LLC

  • Radiology Clinic/Center
  • Flower Mound, TX
National Provider Identifier
1023300076
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
R34557 Issued in TX
Legal business name
BLUE STAR PAIN MANAGEMENT LLC
Practice address
3000 Corporate CT
Suite 400a
Flower Mound, TX 75028-2299
Phone
(214) 647-6161
NPI assigned
May 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rae McGarrity
Title
Coo
Phone
(214) 647-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X R34557 TX Primary

Addresses

Primary practice location

3000 Corporate CT
Suite 400a
Flower Mound, TX 75028-2299

Mailing address

3000 Corporate CT
Suite 400a
Flower Mound, TX 75028-2299
Phone (214) 647-6161

National Provider Directory

National Provider Directory
Tax ID family
Blue Star Pain Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1023300076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CORPORATE CT",
            "address_2": "SUITE 400A",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282299",
            "telephone_number": "214-647-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CORPORATE CT",
            "address_2": "SUITE 400A",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282299",
            "telephone_number": "214-647-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "MCGARRITY",
        "authorized_official_first_name": "RAE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "214-647-6161",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "R34557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.