| Organization Name: | BLUEBONNET MEDICAL CARE PA |
| NPI Number: | 1114259520 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BART W CROSBY (OWNER) |
| Mailing Address: | 2200 Physicians Blvd Suite I Ennis |
| State: | TX US |
| Postal Code: | 751196247 |
| Phone Number: | 9728759755 |
| Fax Number: | 9729059175 |
| NPI Enumeration Date: | 02/10/2010 |
| NPI Last Update Date: | 07/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |