Organization Active NPI

Bluebonnet Procare PLLC

Doing business as Gulf Coast Infusion Centers

  • General Practice Physician
  • Sugar Land, TX
National Provider Identifier
1326555913
Registry record updated May 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BLUEBONNET PROCARE PLLC
Doing business as
Gulf Coast Infusion Centers
Practice address
4660 Sweetwater Blvd Ste 150
Sugar Land, TX 77479-3164
Phone
(713) 679-0003
Fax
(832) 218-2300
NPI assigned
Jan 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2021

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

Authorized official

Name
Mark Levenson
Title
Administrator
Phone
(713) 679-0003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X D5478 TX
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4660 Sweetwater Blvd Ste 150
Sugar Land, TX 77479-3164

Mailing address

4660 Sweetwater Blvd Ste 150
Sugar Land, TX 77479-3164
Phone (713) 679-0003

Other names 1

  • Gulf Coast Infusion Centers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620518400000",
    "number": "1326555913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 SWEETWATER BLVD STE 150",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793164",
            "telephone_number": "713-679-0003",
            "fax_number": "832-218-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 SWEETWATER BLVD STE 150",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793164",
            "telephone_number": "713-679-0003",
            "fax_number": "832-218-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET PROCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-09",
        "status": "A",
        "authorized_official_last_name": "LEVENSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-679-0003"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "D5478",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Infusion Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; 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.