Bluebonnet Healthcare Services Inc

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

BLUEBONNET HEALTHCARE SERVICES INC

Practice address

4001 W Sam Houston Pkwy N
Ste 110
Houston, TX 77043-1235

Phone

(713) 417-2094

Fax

(832) 204-8575

NPI assigned

Jan 31, 2012

Organization subpart

No

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

Authorized official

Name

Shannon Wobbe

Title

President

Phone

(713) 417-2094

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1891067203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 BUNKER HILL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770245119",
            "telephone_number": "713-416-2421",
            "fax_number": "281-616-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W SAM HOUSTON PKWY N",
            "address_2": "STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770431235",
            "telephone_number": "713-417-2094",
            "fax_number": "832-204-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "WOBBE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-417-2094"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "0000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Wings Transportation
• Demetrius Blue
• Quasha Blue
• Sharon Ann Blue
• Rachel Deyarmond Bluebond, MMSC CGC
• Bluebonnet Pharmacy Inc
• Bluebonnet Primary Home Care LLC
• Bluechips Labs LLC
• Bluedrop RPM
• Bluehaven Center Inc

• Pain Clinic/Center in Houston, TX
• Providers in Houston, 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 Jan 31, 2012; 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.