OrganizationActive
Mysti Blu LLC
NPI 1609550219 · Infusion Therapy Clinic/Center · Carrollton, TX
Provider details
- NPI number
- 1609550219
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerria Bernestine, Owner(972) 522-9799
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Home Infusion Agency251F00000X
Agencies
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Practice location
2459 E. Hebron Parkway
#130
Carrollton, TX 75010
Phone: (972) 522-9799
Fax: (469) 546-9723
Approximate (ZIP-level) locationGet directions
Mailing address
3333 Preston Road
Frisco, TX 75034
Registry dates
- Enumerated
- 2023-06-14
- Last updated
- 2025-03-17
- Certified
- 2025-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.