| NPI | 1609421247 |
|---|---|
| Doing Business As | BLUEBONNET PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MAYADA ALI Physician/Owner 512-649-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2022-11-17 |