Organization
BLUE STAR REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS GREEN (OWNER)
(214) 796-7205
Entity
Organization
Contact information
Practice address
800 W AIRPORT FWY STE 959, IRVING, TX 75062-6312
(972) 445-4134
(972) 445-4135
Mailing address
800 W AIRPORT FWY STE 959, IRVING, TX 75062-6312
(972) 445-4134
(972) 445-4135
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
09/23/2019
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