Organization · NPI-2

Blue Star Medical, INC.

Durable Medical Equipment & Medical Supplies · Addison, TX

NPI number1366401317
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1366401317
Entity type
Organization (NPI-2)
Legal business name
Blue Star Medical, INC.
Organization subpart
No
Enumeration date
Mar 20, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies0061499TXYes

Practice location

14275 Midway Rd Ste 220
Addison, TX 75001-3652

Phone 972-931-7827 · Fax 214-823-1069

Mailing address

14275 Midway Rd Ste 220
Addison, TX 75001-3652

Phone 972-931-7827 · Fax 214-823-1069

Authorized official

Steven Butner
President
9729317827

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