Bluebonnet Family Clinic, Llc

LBN: Bluebonnet Family Clinic, Llc
Bluebonnet Family Clinic, Llc is an health care organization with primary practice located at 9241 Bluebonnet Blvd Suite B, Baton Rouge LA 70810-2808. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Bluebonnet Family Clinic, Llc can be contacted via phone (225) 757-6031, or through Thomas, Marykutty J via phone (225) 757-6031.

Contact Information

Primary practice address
9241 Bluebonnet Blvd Suite B Baton Rouge LA 70810-2808
Phone: (225) 757-6031
Fax: (225) 757-6035
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Marykutty J Doctor of Medicine (MD)
Phone: (225) 757-6031

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 022386 Louisiana

Profile Details

NPI number 1932397882
LBN Legal business name Bluebonnet Family Clinic, Llc
DBA Doing business as
Authorized official Thomas, Marykutty J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2007
Last updated Oct 4th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932397882 NPPES
Louisiana MEDICAID 1676471

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