=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063721801
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEST FIRST ADMINISTRATION DME OF AUSTIN
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2010
-----------------------------------------------------
Last Update Date | 09/28/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15308 BANDON DR
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78717-3917
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-673-4810
-----------------------------------------------------
Fax | 512-236-5259
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15308 BANDON DR
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78717-3917
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MRS. BRENDA F ANDERSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 214-673-4810
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 11172166
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------