Mysti Blu Llc
LBN: Mysti Blu Llc
Mysti Blu Llc is an health care organization with primary practice located at 2459 E. Hebron Parkway #130, Carrollton TX 75010. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Agencies / Home Infusion, Ambulatory Health Care Facilities / Infusion Therapy. Ambulatory Health Care Facilities / Infusion Therapy is the primary health care specialty.
Mysti Blu Llc can be contacted via phone (972) 522-9799, or through Bernestine, Jerria via phone (972) 522-9799.
Contact Information
Primary practice address
2459 E. Hebron Parkway #130
Carrollton TX 75010
Phone: (972) 522-9799
Fax: (469) 546-9723
Website:
Authorized official contact:
Name: Bernestine, Jerria Family Nurse Practitioner (FNP)
Phone: (972) 522-9799
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | ||
| Agencies / Home Infusion | 251F00000X | ||
| Ambulatory Health Care Facilities / Infusion Therapy | 261QI0500X |
Profile Details
| NPI number | 1609550219 |
|---|---|
| LBN Legal business name | Mysti Blu Llc |
| DBA Doing business as | |
| Authorized official | Bernestine, Jerria Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 14th, 2023 |
| Last updated | Jan 8th, 2024 - about last year |
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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