Organization Active NPI

Bluebonnet Health Center LLC

Doing business as Diabetic and Neuropathy Centers of Texas

  • General Practice Physician
  • Spring Branch, TX
National Provider Identifier
1821413402
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BLUEBONNET HEALTH CENTER LLC
Doing business as
Diabetic and Neuropathy Centers of Texas
Practice address
2000 Frontier
Spring Branch, TX 78070-5942
Phone
(713) 447-4990
NPI assigned
Feb 19, 2014
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Ms. Chyrissa Staley, N.P.NPI 1346597663
Title
President and Ceo
Phone
(713) 447-4990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2000 Frontier
Spring Branch, TX 78070-5942

Mailing address

2000 Frontier Ste 250
Spring Branch, TX 78070-5942
Phone (713) 447-4990

Other names 1

  • Diabetic and Neuropathy Centers of Texas Doing business as

National Provider Directory

National Provider Directory

Locations

9900 Westpark Dr
Ste 250
Houston, TX 77063
Phone (713) 248-5866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Spring Branch, TX

Sources for this page

  • 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.