NPI age
4 years
Enumerated 2022-02-14
● Active Type 2 · Organization
Subpart
Bluebonnet Trails Community Mhmr Center
Bluebonnet Trails Community Mhmr Center is 1 of 15966 family medicine organizations in Texas.
Primary specialty
Family Medicine
Practice locations
5
4 secondary on file
Status
Active
No deactivations on record
Authorized official
Richardson
Executive Director
Last NPPES update
2023-08-25
Source: monthly bulk 2026-05
How this organization compares
Across 15966 active family medicine providers in Texas.
NPI age
4 years
↓ 13 yr below median
Practice locations
5
4 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-02Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
750 W Travis St
La Grange, TX 789452522
Mailing address
1009 N Georgetown St
Round Rock, TX 786643289
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
404 Carlos G Parker Blvd Nw
Taylor, TX 765747020
Location 3
849 E Industry St
Giddings, TX 789424301
Location 4
301 E Avenue F
Jarrell, TX 765371220
Location 5
1009 N Georgetown St
Round Rock, TX 786643289
Authorized official
Andrea Richardson
Executive Director
📞 5122448305
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Leslie Lindholm, RN, FNP Nurse Practitioner NPI 1821014630
- Marian Taylor, RN Registered Nurse NPI 1518795616
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1268443-05 |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address. Plus 4 secondary practice locations.
Subpart of Bluebonnet Trails Community Mhmr Center.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.