Organization · NPI-2

Blues Family Practice LLC

Family Medicine · Denton, TX

NPI number1881492502
StatusActive
Last updated in NPPESJul 25, 2025

Details

NPI
1881492502
Entity type
Organization (NPI-2)
Legal business name
Blues Family Practice LLC
Organization subpart
No
Enumeration date
Mar 6, 2025
Certification date
Jul 25, 2025
Last updated
Jul 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

2701 W Oak St Ste 100
Denton, TX 76201-2328

Phone 940-220-8302

Mailing address

833 Chaplin Dr
Justin, TX 76247-2284

Phone 405-885-4600

Authorized official

Solange Mforbi
Family Practitioner
9402208302

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