# BLUE STAR MEDICAL, INC.

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

## Provider details

- **NPI number:** 1366401317
- **Authorized official:** STEVEN BUTNER (PRESIDENT)
- **Authorized official phone:** (972) 931-7827

## Contact information

- **Practice address:** 14275 MIDWAY RD STE 220, ADDISON, TX 75001-3652
- **Practice address phone:** (972) 931-7827
- **Practice address fax:** (214) 823-1069
- **Mailing address:** 14275 MIDWAY RD STE 220, ADDISON, TX 75001-3652
- **Mailing address phone:** (972) 931-7827
- **Mailing address fax:** (214) 823-1069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0061499 | TX | Yes |

## Other

- **Enumeration date:** 03/20/2006
- **Last updated:** 08/22/2020