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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 : 1528170412
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
Provider Business Mailing Address
First Line : 116 GALLERY CIR
Second Line : SUITE 102
City : SAN ANTONIO
State : TX
Zip : 78258-3341
Country : US
Telephone Number : 210-499-4003
Fax Number : 210-499-5292
Provider Business Practice Location Address
First Line : 116 GALLERY CIR
Second Line : SUITE 102
City : SAN ANTONIO
State : TX
Zip : 78258-3341
Country : US
Telephone Number : 210-499-4003
Fax Number : 210-499-5292
Authorized Official
Title or Position : TREASURER
Name : MARK FAWCETT
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 08/31/2006
Last Update Date : 06/08/2009

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