MEDICARE: BILLING COMPLETE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	TX
2	324500000X	Substance Abuse Rehabilitation Facility	TX
3	305R00000X	Preferred Provider Organization	TX
4	261QP3300X	Pain Clinic/Center	TX
5	251T00000X	PACE Provider Organization	TX
6	282N00000X	General Acute Care Hospital	TX
7	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1134588668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILLING COMPLETE LLC

Provider Business Mailing Address
First Line	:	2438 N MACARTHUR BLVD APT 1510
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-5484
Country	:	US
Telephone Number	:	248-636-7862
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 W RANDOL MILL RD STE 214
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-4611
Country	:	US
Telephone Number	:	248-636-7862
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. TAMEKIA MABIN
Credential	:
Telephone Number	:	248-636-7862

Provider Enumeration Date	:	02/11/2016
Last Update Date	:	02/12/2016

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Directions to “BILLING COMPLETE LLC ” Practice Location

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