Organization
BLUEBONNET TRAILS COMMUNITY MHMR CENTER
Active
Parent organization
BLUEBONNET TRAILS COMMUNITY MHMR CENTER
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
750 W TRAVIS ST, LA GRANGE, TX 78945-2522
(979) 968-3711
Mailing address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1268443-05
—
TX
Enumeration date
02/14/2022
Last updated
08/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us