| Bluebonnet Family Care | |
|
2030 Pulliam St San Angelo TX 76905-5175 | |
| (325) 653-0800 | |
| Not Available |
| Full Name | Bluebonnet Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2030 Pulliam St, San Angelo, Texas |
| Authorized Official Name and Position | Lillian Perez (DIRECTOR) |
| Authorized Official Contact | 3256557969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebonnet Family Care 223 S Abe St San Angelo TX 76903-6305 Ph: (325) 655-7969 | Bluebonnet Family Care 2030 Pulliam St San Angelo TX 76905-5175 Ph: (325) 653-0800 |
| NPI Number | 1033223706 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033223706 | NPI | - | NPPES |
| 0045MA | Other | TX | BCBS OF TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F9940 (Texas) | Primary |
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