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Bluebonnet Trails Community Mhmr Center

NPI 1215682752ActiveOrganization· Family Medicine· La Grange, TX

Family Medicine in La Grange, Texas, registered in NPPES in February 2022, part of Bluebonnet Trails Community Mhmr Center. The authorized official on file is Andrea Richardson, Executive Director.

Overview

NPI1215682752
StatusActive
Entity typeOrganization (subpart)
Parent organizationBluebonnet Trails Community Mhmr Center
NPI issuedFeb 14, 2022
Last updated in NPPESAug 25, 2023
Certified by providerAug 25, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in La Grange

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