| Mysti Blu Management Group, Llc | |
|
2459 E Hebron Pkwy Ste 130 Carrollton TX 75010-4477 | |
| (972) 522-9799 | |
| (469) 546-9723 |
| Full Name | Mysti Blu Management Group, Llc |
|---|---|
| Speciality | Home Infusion |
| Location | 2459 E Hebron Pkwy Ste 130, Carrollton, Texas |
| Authorized Official Name and Position | Jerria Bernestine (OWNER) |
| Authorized Official Contact | 3107564829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mysti Blu Management Group, Llc 2459 E Hebron Pkwy Ste 130 Carrollton TX 75010-4477 Ph: (972) 522-9799 | Mysti Blu Management Group, Llc 2459 E Hebron Pkwy Ste 130 Carrollton TX 75010-4477 Ph: (972) 522-9799 |
| NPI Number | 1003632522 |
|---|---|
| Provider Enumeration Date | 11/30/2024 |
| Last Update Date | 11/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003632522 | NPI | - | NPPES |
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