| NPI | 1477950202 |
|---|---|
| Doing Business As | BRGP-BLUEBONNET FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | KENDALL JOHNSON C.F.O. 225-237-1645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2022-09-06 |