# BLUE STAR PAIN MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023300076
- **Authorized official:** MRS. RAE MCGARRITY (COO)
- **Authorized official phone:** (214) 647-6161

## Contact information

- **Practice address:** 3000 CORPORATE CT, SUITE 400A, FLOWER MOUND, TX 75028-2299
- **Practice address phone:** (214) 647-6161
- **Mailing address:** 3000 CORPORATE CT, SUITE 400A, FLOWER MOUND, TX 75028-2299
- **Mailing address phone:** (214) 647-6161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | R34557 | TX | Yes |

## Other

- **Enumeration date:** 05/10/2011
- **Last updated:** 05/10/2011