Organization
BLUEBIRD MEDICAL ENTERPRISES
Active
Other names
Lone Star Air Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID PHILLIPS (PRESIDENT)
(254) 771-1513
Entity
Organization
Contact information
Practice address
442 CHAMPIONS DR, GEORGETOWN, TX 78628-1199
(254) 771-1513
(254) 771-1181
Mailing address
P O BOX 3000 PMB 155, GEORGETOWN, TX 78627
(254) 771-1513
(254) 771-1181
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
1000280
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000280
TEXAS DEPT OF STATE HEALTH SERVICES
TX
Enumeration date
07/16/2009
Last updated
07/16/2009
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