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General NPI Number Information
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NPI Number | 1134920762
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Entity Type | Organization
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Legal Business Name | BIOMEDICAL DISTRIBUTION LLC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 3811 BEE CAVES RD UNIT 100101
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-5383
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Country | US
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Telephone | 713-444-0592
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Fax | 713-456-2769
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Provider Business Mailing Address
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Address Line | 2802 FLINTROCK TRCE STE 256
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City | AUSTIN
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State | TX
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Zip | 78738-1743
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Country | US
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Telephone | 512-764-6609
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Fax | 713-456-2769
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Authorized Official
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Title or Position | CEO
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Name | DR. DAVID C BONNER
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Credential | PHD
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Telephone | 713-444-0592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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