Type 2 organization · NPI 1003632522

MYSTI BLU MANAGEMENT GROUP, LLC

251F00000X · CARROLLTON, TX

Why this profile is appearing now

Observed change signals

No current public change signal is attached to this profile.

Reported classification

Taxonomies

CodeDescriptionSource flag
251F00000X 251F00000X Primary
207Q00000X 207Q00000X Additional
261QI0500X 261QI0500X Additional
363LF0000X 363LF0000X Additional

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s