BLUE STAR PAIN MANAGEMENT LLC NPI 1023300076

Clinic/Center (Radiology) in Flower Mound, TX

NPI 1023300076 Organization Clinic/Center Radiology

About BLUE STAR PAIN MANAGEMENT LLC

Blue Star Pain Management Llc is a provider established in Flower Mound, Texas specializing in clinic/center (radiology) . The NPI number of Blue Star Pain Management Llc is 1023300076 and was assigned on May 2011. The practitioner's primary taxonomy code is 261QR0200X with license number R34557 (TX). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Rae Mcgarrity (Coo)

NPI

1023300076

Provider NameBLUE STAR PAIN MANAGEMENT LLC
Provider Location Address3000 CORPORATE CT SUITE 400A FLOWER MOUND, TX 75028
Provider Mailing Address3000 CORPORATE CT SUITE 400A FLOWER MOUND, TX 75028
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-10-2011
Last Update Date05-10-2011


Primary Taxonomy

Taxonomy Code261QR0200X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRadiology
License No.R34557
License StateTX

Business Address

BLUE STAR PAIN MANAGEMENT LLC
3000 CORPORATE CT
SUITE 400A
FLOWER MOUND, TX
ZIP 75028
Phone: (214) 647-6161

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Mailing Address

BLUE STAR PAIN MANAGEMENT LLC
3000 CORPORATE CT
SUITE 400A
FLOWER MOUND, TX
ZIP 75028
Phone: (214) 647-6161



Authorized Official

Authorized Official NameMRS. RAE MCGARRITY
Authorized Official TitleCOO
Authorized Official Phone(214) 647-6161

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851390108 DAVID T LARSEN MD
Individual
Radiology (Diagnostic Radiology)3000 CORPORATE CT SUITE 400
FLOWER MOUND, TX 75028
(214) 647-6165
1538305214BLUE STAR IMAGING, II, L.P.
Organization
Clinic/Center (Radiology)3000 CORPORATE CT SUITE 400
FLOWER MOUND, TX 75028
(214) 647-6161
1265745632BLUE STAR RADIOLOGY ASSOCIATES
Organization
Radiology (Diagnostic Radiology)3000 CORPORATE CT SUITE 400
FLOWER MOUND, TX 75028
(214) 647-6165
1508179623BLUE STAR PAIN MANAGEMENT LLC
Organization
Clinic/Center (Pain)3000 CORPORATE CT SUITE 400A
FLOWER MOUND, TX 75028
(214) 647-6163
1124438973THE BURNLEY CLINIC
Organization
Chiropractor3000 CORPORATE CT STE. 100
FLOWER MOUND, TX 75028
(214) 264-6072
1821451717BLUE STONE JV, LLP
Organization
Physiological Laboratory3000 CORPORATE CT STE 400
FLOWER MOUND, TX 75028
(214) 647-6161
1336500297BLUE STONE JV LLP
Organization
Physiological Laboratory3000 CORPORATE CT STE 400
FLOWER MOUND, TX 75028
(972) 724-0100
1265431514 MICHAEL B JONES MD
Individual
Radiology (Diagnostic Radiology)3000 CORPORATE CT SUITE 400
FLOWER MOUND, TX 75028
(214) 647-6165

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.