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NPI Code Detail

MEDICARE: BT MEDICAL SUPPLIE LLC

MEDICARE: BT MEDICAL SUPPLIE LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1114329547
Entity Type Code : Organization
Provider Name (Legal Business Name) : BT MEDICAL SUPPLIE LLC
Provider Business Mailing Address
First Line : 201 LINDA DR
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-4354
Country : US
Telephone Number : 903-962-0371
Fax Number :
Provider Business Practice Location Address
First Line : 513 E GARLAND ST
Second Line :
City : GRAND SALINE
State : TX
Zip : 75140-1984
Country : US
Telephone Number : 903-885-8700
Fax Number : 903-885-8711
Authorized Official
Title or Position : OWNER
Name : WILLIAM NOEL HOLDEN
Credential :
Telephone Number : 903-885-8700
Provider Enumeration Date : 09/17/2014
Last Update Date : 09/17/2014

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Directions to “BT MEDICAL SUPPLIE LLC ” Practice Location

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