Provider Demographics
NPI:1962023077
Name:BLUEBONNET DERMATOLOGY PLLC
Entity type:Organization
Organization Name:BLUEBONNET DERMATOLOGY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HUAYI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-663-8838
Mailing Address - Street 1:3094 LAURA LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4554
Mailing Address - Country:US
Mailing Address - Phone:469-663-8838
Mailing Address - Fax:469-472-0861
Practice Address - Street 1:3094 LAURA LN STE 200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-4569
Practice Address - Country:US
Practice Address - Phone:469-663-8838
Practice Address - Fax:469-472-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty