Organization Active NPI

Bluebonnet Medical Care PA

Doing business as Ennis Quick Care

  • Urgent Care Clinic/Center
  • Ennis, TX
National Provider Identifier
1114259520
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BLUEBONNET MEDICAL CARE PA
Doing business as
Ennis Quick Care
Practice address
2200 Physicians Blvd
Suite I
Ennis, TX 75119-6247
Phone
(972) 875-9755
Fax
(972) 905-9175
NPI assigned
Feb 10, 2010
Last updated
Jul 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Dr. Bart W Crosby, DO
Title
Owner
Phone
(972) 875-9755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2200 Physicians Blvd
Suite I
Ennis, TX 75119-6247

Mailing address

2200 Physicians Blvd
Suite I
Ennis, TX 75119-6247
Phone (972) 875-9755

Other names 1

  • Ennis Quick Care Doing business as

National Provider Directory

National Provider Directory

Locations

2200 Physicians Blvd
Ste I
Ennis, TX 75119
Phone (972) 875-9755

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1114259520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PHYSICIANS BLVD",
            "address_2": "SUITE I",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196247",
            "telephone_number": "972-875-9755",
            "fax_number": "972-905-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PHYSICIANS BLVD",
            "address_2": "SUITE I",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196247",
            "telephone_number": "972-875-9755",
            "fax_number": "972-905-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET MEDICAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-875-9755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ennis Quick Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ennis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.