MEDICARE: 2BD ENTERPRISES 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
1	261QP3300X	Pain Clinic/Center

General Provider Information

NPI Number	:	1518167170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	2BD ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	5200 MITCHELLDALE ST
Second Line	:	E-11
City	:	HOUSTON
State	:	TX
Zip	:	77092-7206
Country	:	US
Telephone Number	:	713-688-4880
Fax Number	:	713-688-4184

Provider Business Practice Location Address
First Line	:	5200 MITCHELLDALE ST
Second Line	:	E-11
City	:	HOUSTON
State	:	TX
Zip	:	77092-7206
Country	:	US
Telephone Number	:	713-688-4880
Fax Number	:	713-688-4184

Authorized Official
Title or Position	:	ADMINISTRATIVE DIRECTOR
Name	:	DR. CELIOUS BARNER III
Credential	:	ED.D.
Telephone Number	:	713-688-4880

Provider Enumeration Date	:	07/23/2007
Last Update Date	:	07/23/2007

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Directions to “2BD ENTERPRISES LLC ” Practice Location

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