| Blue Ocean Health Services Llc | |
|
105 Clariden Ranch Rd Southlake TX 76092-1947 | |
| (817) 835-6363 | |
| (817) 818-1313 |
| Full Name | Blue Ocean Health Services Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 105 Clariden Ranch Rd, Southlake, Texas |
| Authorized Official Name and Position | Kara Charlotte Farley (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2817852476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ocean Health Services Llc 105 Clariden Ranch Rd Southlake TX 76092-1947 Ph: (817) 835-6363 | Blue Ocean Health Services Llc 105 Clariden Ranch Rd Southlake TX 76092-1947 Ph: (817) 835-6363 |
| NPI Number | 1821696386 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821696386 | NPI | - | NPPES |
| Q9605 | Other | TX | TEXAS LICENSE |
| 1497148613 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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