Organization
BLUE START GROUP
Active
Organization
BLUE START GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIAN DRAGO (PRESIDENT)
(361) 777-9872
Entity
Organization
Contact information
Practice address
2820 S PADRE ISLAND DR, SUITE 215, CORPUS CHRISTI, TX 78415-1800
(361) 777-9872
Mailing address
2820 S PADRE ISLAND DR, SUITE 215, CORPUS CHRISTI, TX 78415-1800
(361) 777-9872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5286111
ID
TX
Enumeration date
03/01/2017
Last updated
03/01/2017
Update your record
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