Bluebonnet Osr Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BLUEBONNET OSR ASSOCIATES

Practice address

7750 N. Macarthur Blvd. Suite 120
Irving, TX 75063

Phone

(216) 825-5879

NPI assigned

Feb 7, 2022

Last updated

Feb 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mansi Lalwani

Title

Pediatrician

Phone

(216) 825-5879

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1174277412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S DENTON TAP RD UNIT 442",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197117",
            "telephone_number": "216-825-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 N. MACARTHUR BLVD. SUITE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "216-825-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET OSR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "LALWANI",
        "authorized_official_first_name": "MANSI",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "216-825-5879"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Coppell",
            "affiliation": "N",
            "address_1": "450 S Denton Tap Rd Unit 442",
            "city": "Coppell",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750197117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pediatrics Physician in Irving, TX
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• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.