Organization
BLUE OCEAN HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARA CHARLOTTE FARLEY (PHYSICIAN/OWNER)
(281) 785-2476
Entity
Organization
Contact information
Practice address
105 CLARIDEN RANCH RD, SOUTHLAKE, TX 76092-1947
(817) 835-6363
(817) 818-1313
Mailing address
105 CLARIDEN RANCH RD, SOUTHLAKE, TX 76092-1947
(817) 835-6363
(817) 818-1313
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497148613
NPI
—
01
—
Q9605
TEXAS LICENSE
TX
Enumeration date
10/15/2020
Last updated
10/15/2020
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