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NPI Code Detail

MEDICARE: BIO-MEDICAL APPLICATIONS OF TEXAS, INC.

MEDICARE: BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1194837096
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
Provider Business Mailing Address
First Line : 5000 CAMPUS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-5921
Country : US
Telephone Number : 817-413-0330
Fax Number : 817-413-0334
Provider Business Practice Location Address
First Line : 5000 CAMPUS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-5921
Country : US
Telephone Number : 817-413-0330
Fax Number : 817-413-0334
Authorized Official
Title or Position : VICE PRESIDENT
Name : BARRY L. BLANTON
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 08/31/2006
Last Update Date : 08/09/2021

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