Organization
BLUE STAR RESEARCH
Active
Other names
CARTER BLOOD CARE
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W BANN (PRESIDENT)
(512) 464-1289
Entity
Organization
Contact information
Practice address
815 S BAXTER AVE, TYLER, TX 75701-2205
(512) 464-1289
Mailing address
4815 W BRAKER LN STE 502-224, AUSTIN, TX 78759-5799
(512) 464-1289
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D0714563
TX
Other
Enumeration date
04/08/2010
Last updated
05/20/2010
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