Mysti Blu Management Group, Llc | |
2459 E Hebron Pkwy Ste 130 Carrollton TX 75010-4477 | |
(972) 522-9799 | |
(469) 546-9723 |
Full Name | Mysti Blu Management Group, Llc |
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Speciality | Home Infusion |
Location | 2459 E Hebron Pkwy Ste 130, Carrollton, Texas |
Authorized Official Name and Position | Jerria Bernestine (OWNER) |
Authorized Official Contact | 3107564829 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mysti Blu Management Group, Llc 2459 E Hebron Pkwy Ste 130 Carrollton TX 75010-4477 Ph: (972) 522-9799 | Mysti Blu Management Group, Llc 2459 E Hebron Pkwy Ste 130 Carrollton TX 75010-4477 Ph: (972) 522-9799 |
NPI Number | 1003632522 |
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Provider Enumeration Date | 11/30/2024 |
Last Update Date | 11/30/2024 |
Identifier | Type | State | Issuer |
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1003632522 | NPI | - | NPPES |
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