Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mysti Blu LLC

Organization Family Medicine Physician · NPI 1609550219

Mysti Blu LLC is a Family Medicine Physician in Carrollton, Texas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2459 E Hebron Pkwy #130
Carrollton, TX 75010
Phone: (972) 522-9799
Fax: (469) 546-9723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infusion Therapy Clinic/Center (primary) Taxonomy 261QI0500X
Family Medicine Physician Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Home Infusion Agency Taxonomy 251F00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1609550219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerria Bernestine — Owner · (972) 522-9799
NPI enumeratedJune 14, 2023
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address3333 Preston Road, 300, Frisco, TX 75034

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