SearchTexas103TH0004X

John Blue Star

NPI 1750708863 · on the registry since 2014

Practice

Address
1100 Wilford Hall Loop
Lackland Afb, TX 78236
Phone
(210) 292-7361
Organisation at this address
Whasc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
69

Registry record

Primary taxonomy
103TH0004X
103TH0004X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas