| Mysti Blu Llc | |
|
2459 E Hebron Pkwy Ste 130 Carrollton TX 75010-4477 | |
| (972) 522-9799 | |
| (469) 546-9723 |
| Full Name | Mysti Blu Llc |
|---|---|
| Speciality | Clinic/center - Infusion Therapy |
| Location | 2459 E Hebron Pkwy Ste 130, Carrollton, Texas |
| Authorized Official Name and Position | Jerria Bernestine (OWNER) |
| Authorized Official Contact | 9725229799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mysti Blu Llc 2459 E Hebron Pkwy Ste 130 Carrollton TX 75010-4477 Ph: (972) 522-9799 | Mysti Blu Llc 2459 E Hebron Pkwy Ste 130 Carrollton TX 75010-4477 Ph: (972) 522-9799 |
| NPI Number | 1831915354 |
|---|---|
| Provider Enumeration Date | 11/30/2024 |
| Last Update Date | 11/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831915354 | NPI | - | NPPES |
Mysti Blu Management Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2459 E Hebron Pkwy Ste 130, Carrollton, TX 75010 Phone: 972-522-9799 Fax: 469-546-9723 | |
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