Healthcare Provider Details

I. General information

NPI: 1497043780
Provider Name (Legal Business Name): BING MEDICAL STAFFING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 07/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7614 LOUIS PASTEUR DR SUITE 300A
SAN ANTONIO TX
78229-4036
US

IV. Provider business mailing address

7614 LOUIS PASTEUR DR SUITE 300A
SAN ANTONIO TX
78229-4036
US

V. Phone/Fax

Practice location:
  • Phone: 210-615-1900
  • Fax: 210-615-1905
Mailing address:
  • Phone: 210-615-1900
  • Fax: 210-615-1905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code211D00000X
TaxonomyPodiatric Assistant
License Number801453503
License Number StateTX

VIII. Authorized Official

Name: MR. ERIC P LOZANO
Title or Position: OWNER
Credential:
Phone: 210-615-1900