Organization
BLUE BAYOU SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ADAMS (CEO)
(214) 771-5755
Entity
Organization
Contact information
Practice address
12200 FORD RD, DALLAS, TX 75234-7244
(214) 771-5755
Mailing address
12200 FORD RD, DALLAS, TX 75234-7244
(214) 771-5755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K9956
TX
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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