Organization
BLUEBONNET TRAILS COMMUNITY MHMR CENTER
Active
Parent organization
BLUEBONNET TRAILS COMMUNITY MHMR CENTER
Other names
Bluebonnet Trails Community Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUEBONNET TRAILS COMMUNITY MHMR CENTER
Authorized official
ANDREA RICHARDSON (EXECUTIVE DIRECTOR)
(512) 244-8305
Entity
Organization
Contact information
Practice address
849 E INDUSTRY ST, GIDDINGS, TX 78942-4301
(512) 255-1720
(512) 244-8401
Mailing address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
(512) 244-8401
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1268443-05
—
TX
Enumeration date
06/24/2021
Last updated
08/25/2023
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