Blue Star Pain Management LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

BLUE STAR PAIN MANAGEMENT LLC

Practice address

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

Phone

(214) 647-6163

Fax

(214) 647-6164

NPI assigned

Jul 18, 2010

Organization subpart

No

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

Addresses

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.

• Blue Star Pain Management LLC

  • Radiology Clinic/Center
  • Flower Mound, TX
  • NPI 1023300076
  NPD tax ID

Locations

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

{
    "created_epoch": "1279411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1508179623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COWBOYS PKWY",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634924",
            "telephone_number": "214-647-6161",
            "fax_number": "214-647-6162"
        },
        {
            "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": "214-647-6163",
            "fax_number": "214-647-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-18",
        "last_updated": "2011-08-16",
        "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": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Andrew Blad, DC
• Joan Blake, SLP
• Nancy Jane Bledsoe-Link, MA, LPC, LCDC
• Blue Star Imaging, II, L.P.
• Blue Star Pain Management LLC
• Blue Star Radiology Associates
• Blue Stone JV LLP
• Blue Stone JV LLP
• Blue Stone JV, LLP
• Kyle Lyndon Boatman, NP

• Pain Clinic/Center in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Pain Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.