OrganizationActive
Blue Star Medical Group PLLC
NPI 1619126489 · Specialist · Oklahoma City, OK
Provider details
- NPI number
- 1619126489
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Glenda Cohrs, Administrator(405) 424-5630
Specialties & taxonomies
Other Service Providers
Practice location
3115 Sw 89th St
Oklahoma City, OK 73159-7901
Phone: (405) 424-5630
Approximate (ZIP-level) locationGet directions
Mailing address
3115 Sw 89th St
Oklahoma City, OK 73159-7901
Registry dates
- Enumerated
- 2008-09-16
- Last updated
- 2008-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.