Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN ANTHONY BLUE STAR
ActiveHealth Psychologist · LACKLAND AFB, TX
Registration Details
- NPI Number
- 1750708863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2014 (12.071564871564 yrs)
- Last Updated
- Sep 13, 2020
- License
-
593 (WY)
Practice Information
- Address
-
1100 WILFORD HALL LOOPLACKLAND AFB, TX, 782365638Browse TX providers · Browse ZIP 78236
- Phone
- 2102927361
- Primary Specialty
-
Health Psychologist
103TH0004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.