Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
WACO BLUEBONNET HOLDINGS, INC.
Active
Organization
WACO BLUEBONNET HOLDINGS, INC.
Active
Other names
Bluebonnet Health Services Supportive Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MCKENZIE (CFO)
(254) 772-5577
Entity
Organization
Contact information
Practice address
307 LONDONDERRY DR, WACO, TX 76712-7915
(254) 751-1790
(254) 751-7295
Mailing address
307 LONDONDERRY DR, WACO, TX 76712-7915
(254) 751-1790
(254) 751-7295
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up