Organization
BLUEBONNET PROCARE PLLC
Active
Other names
Gulf Coast Infusion Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LEVENSON (ADMINISTRATOR)
(713) 679-0003
Entity
Organization
Contact information
Practice address
4660 SWEETWATER BLVD STE 150, SUGAR LAND, TX 77479-3164
(713) 679-0003
(832) 218-2300
Mailing address
4660 SWEETWATER BLVD STE 150, SUGAR LAND, TX 77479-3164
(713) 679-0003
(832) 218-2300
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
D5478
TX
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
05/09/2021
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