OrganizationActive
Bluebonnet Trails Community Mhmr Center
NPI 1861534612 · Developmental Disabilities Clinic/Center · Round Rock, TX
Provider details
- NPI number
- 1861534612
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Noralisa Williams, Credentialing Coordinator
- License
- NO LICENSE (TX)
Practice location
1009 N Georgetown St
Round Rock, TX 78664-3289
Phone: (512) 255-1720
Fax: (512) 244-8371
Mailing address
1009 N Georgetown St
Round Rock, TX 78664-3289
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2023-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.