Organization
BLUEBONNET HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON WOBBE (PRESIDENT)
(713) 417-2094
Entity
Organization
Contact information
Practice address
4001 W SAM HOUSTON PKWY N, STE 110, HOUSTON, TX 77043-1235
(713) 417-2094
(832) 204-8575
Mailing address
668 BUNKER HILL RD, HOUSTON, TX 77024-5119
(713) 416-2421
(281) 616-6454
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
0000
TX
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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