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

Mysti Blu LLC

Organization Family Medicine Physician · NPI 1831915354

Mysti Blu LLC is a Family Medicine Physician in Carrollton, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
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 Ste 130
Carrollton, TX 75010-4477
Phone: (972) 522-9799
Fax: (469) 546-9723
Show map & directions

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
Home Infusion Agency Taxonomy 251F00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1831915354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerria Bernestine — Owner · (972) 522-9799
NPI enumeratedNovember 30, 2024
Last updated in NPPESNovember 30, 2024
Certification dateNovember 30, 2024
Mailing address2459 E Hebron Pkwy Ste 130, Carrollton, TX 75010-4477

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