| Bluebonnet Procare Pllc | |
|
4660 Sweetwater Blvd Ste 150 Sugar Land TX 77479-3164 | |
| (713) 679-0003 | |
| (832) 218-2300 |
| Full Name | Bluebonnet Procare Pllc |
|---|---|
| Speciality | General Practice |
| Location | 4660 Sweetwater Blvd Ste 150, Sugar Land, Texas |
| Authorized Official Name and Position | Mark Levenson (ADMINISTRATOR) |
| Authorized Official Contact | 7136790003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebonnet Procare Pllc 4660 Sweetwater Blvd Ste 150 Sugar Land TX 77479-3164 Ph: (713) 679-0003 | Bluebonnet Procare Pllc 4660 Sweetwater Blvd Ste 150 Sugar Land TX 77479-3164 Ph: (713) 679-0003 |
| NPI Number | 1326555913 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 05/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326555913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | D5478 (Texas) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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