Organization
BLUE GIBBOUS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANDRE BLUITT MD (PSYCHIATRIST)
(903) 272-7744
Entity
Organization
Contact information
Practice address
212 W HIGHLAND MALL BLVD UNIT 493, AUSTIN, TX 78752-3881
(903) 272-7744
Mailing address
212 W HIGHLAND MALL BLVD UNIT 493, AUSTIN, TX 78752-3881
(903) 272-7744
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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