# BLUE STAR IMAGING SA, LLC

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

## Provider details

- **NPI number:** 1871101899
- **Authorized official:** MELISSA BEEBE (EXECUTIVE ASSISTANT TO COO)
- **Authorized official phone:** (972) 497-4156

## Contact information

- **Practice address:** 112 HERFF RD, BOERNE, TX 78006-2747
- **Practice address phone:** (210) 961-4282
- **Practice address fax:** (210) 961-4283
- **Mailing address:** 1 COWBOYS WAY STE 150, FRISCO, TX 75034-1995
- **Mailing address phone:** (972) 497-4156

## Taxonomy

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

## Other

- **Enumeration date:** 07/15/2020
- **Last updated:** 07/15/2020