MEDICARE: BLUES MANAGEMENT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13NJ	OTHER	TX	BLUE CROSS & BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568419737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUES MANAGEMENT INC

Provider Business Mailing Address
First Line	:	5500 GUHN RD
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77040-6162
Country	:	US
Telephone Number	:	713-783-8889
Fax Number	:	713-783-0499

Provider Business Practice Location Address
First Line	:	5500 GUHN RD
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77040-6162
Country	:	US
Telephone Number	:	713-783-8889
Fax Number	:	713-783-0499

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	JANA K BETHEA
Credential	:
Telephone Number	:	713-783-8889

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	09/17/2024

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Directions to “BLUES MANAGEMENT INC ” Practice Location

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