Bluebonnet Surgical Associates, P,a,

NPI #1982866257 in Dallas, Texas

Provider Information

NPI Number: 1982866257
Entity Type: Organization
Organization Name: Bluebonnet Surgical Associates, P,a,
Primary Specialty: Surgery
Enumeration Date: Jun 27, 2008
Last Updated: May 11, 2011

Practice Location

Address: 3430 W WHEATLAND RD
Address 2: SUITE 407
City: Dallas
State: Texas
ZIP Code: 75237-3446
Phone: (972) 283-9900

Authorized Official

Name: DR. LAUREL L HUMPHREY POWELL, M.D.
Title: PRESIDENT
Phone: (972) 283-9900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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