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Organization
TEXAS BLUEBONNET HOLDINGS INC
Active
Organization
TEXAS BLUEBONNET HOLDINGS INC
Active
Other names
Bluebonnet Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE M FETTINGER (ADMINISTRATOR CEO)
(817) 275-1040
Entity
Organization
Contact information
Practice address
4144 N CENTRAL EXPY, SUITE 950, DALLAS, TX 75204-3140
(214) 828-9991
(214) 828-9011
Mailing address
3613 W PIONEER PKWY STE B, PANTEGO, TX 76013-4517
(214) 828-9991
(214) 828-9011
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008568
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172447801
—
TX
Enumeration date
12/04/2006
Last updated
10/19/2010
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