| Bluebonnet Primary Care | |
|
1000 Gattis School Rd Ste 130 Round Rock TX 78664-2562 | |
| (512) 649-0996 | |
| (512) 387-3555 |
| Full Name | Bluebonnet Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Gattis School Rd Ste 130, Round Rock, Texas |
| Authorized Official Name and Position | Mayada Ali (OWNER) |
| Authorized Official Contact | 5126490996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebonnet Primary Care 1000 Gattis School Rd Ste 130 Round Rock TX 78664-2562 Ph: (512) 649-0996 | Bluebonnet Primary Care 1000 Gattis School Rd Ste 130 Round Rock TX 78664-2562 Ph: (512) 649-0996 |
| NPI Number | 1609421247 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 06/19/2026 |
| Certification Date | 06/19/2026 |
| Medicare PECOS PAC ID | 6103158191 |
|---|---|
| Medicare Enrollment ID | O20191024000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609421247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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