Healthcare Provider Details

I. General information

NPI: 1356576789
Provider Name (Legal Business Name): BT MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 08/11/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 LINDA DR
SULPHUR SPRINGS TX
75482-4354
US

IV. Provider business mailing address

201 LINDA DR
SULPHUR SPRINGS TX
75482-4354
US

V. Phone/Fax

Practice location:
  • Phone: 903-885-8700
  • Fax: 903-885-8711
Mailing address:
  • Phone: 903-885-8700
  • Fax: 903-885-8711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. WILLIAM NOEL HOLDEN
Title or Position: OWNER
Credential:
Phone: 903-885-8700