Bluebonnet Health Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BLUEBONNET HEALTH CENTER LLC

Practice address

2000 Frontier
Spring Branch, TX 78070-5942

Phone

(713) 447-4990

NPI assigned

Feb 19, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Chyrissa Staley, N.P.

Title

President and Ceo

Phone

(713) 447-4990

Specialties & licenses 1

Addresses

Other names 1

• Diabetic and Neuropathy Centers of Texas Doing business as

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1821413402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FRONTIER STE 250",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780705942",
            "telephone_number": "713-447-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FRONTIER",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780705942",
            "telephone_number": "713-447-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "STALEY",
        "authorized_official_first_name": "CHYRISSA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "713-447-4990",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetic and Neuropathy Centers of Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diabetic and Neuropathy Centers of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.