# BLUEBONNET PAIN PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1538571013
- **Authorized official:** MELANIE GROSS (VP OF REVENUE CYCLE)
- **Authorized official phone:** (214) 615-5168

## Contact information

- **Practice address:** 10740 N CENTRAL EXPY STE 275, DALLAS, TX 75231-2166
- **Practice address phone:** (214) 615-5168
- **Practice address fax:** (888) 526-9542
- **Mailing address:** PO BOX 3837, CAROL STREAM, IL 60132-3837
- **Mailing address phone:** (214) 615-5168
- **Mailing address fax:** (888) 526-9542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2014
- **Last updated:** 06/02/2014