NPI | 1902425093 |
---|---|
Doing Business As | BLUE STAR FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | CHRIS PAUL GREEN Owner 972-445-4134 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-04-09 |
Last Update Date | 2023-10-02 |