MEDICARE: BEK MEDICAL 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
1	332BC3200X	Customized Equipment (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487641692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEK MEDICAL INC

Provider Business Mailing Address
First Line	:	1239 LAFAYETTE DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-1219
Country	:	US
Telephone Number	:	915-599-1129
Fax Number	:	915-599-1141

Provider Business Practice Location Address
First Line	:	1239 LAFAYETTE DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-1219
Country	:	US
Telephone Number	:	915-599-1129
Fax Number	:	915-599-1141

Authorized Official
Title or Position	:	GENERAL MANAGER/OWNER
Name	:	MR. LARRY RICHARD WILLIAMS
Credential	:
Telephone Number	:	915-599-1129

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	09/19/2023

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Directions to “BEK MEDICAL INC ” Practice Location

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