Bluebonnet Trails Community Mhmr Center

NPI #1215682752 in La Grange, Texas

Provider Information

NPI Number: 1215682752
Entity Type: Organization
Organization Name: Bluebonnet Trails Community Mhmr Center
Subpart: Yes (part of a larger organization)
Parent Organization: BLUEBONNET TRAILS COMMUNITY MHMR CENTER
Primary Specialty: Family Medicine
Enumeration Date: Feb 14, 2022
Last Updated: Aug 25, 2023

Practice Location

Address: 750 W TRAVIS ST
City: La Grange
State: Texas
ZIP Code: 78945-2522
Phone: (979) 968-3711

Authorized Official

Name: ANDREA RICHARDSON
Title: EXECUTIVE DIRECTOR
Phone: (512) 244-8305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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