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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 : 1568939783
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
Provider Business Mailing Address
First Line : 2756 W T C JESTER BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77018-7003
Country : US
Telephone Number : 713-680-9056
Fax Number :
Provider Business Practice Location Address
First Line : 2756 W T C JESTER BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77018-7003
Country : US
Telephone Number : 713-680-9056
Fax Number :
Authorized Official
Title or Position : SENIOR VICE PRESIDENT & TREASURER
Name : MARK FAWCETT
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 10/25/2018
Last Update Date : 10/26/2018

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Directions to “BIO-MEDICAL APPLICATIONS OF TEXAS, INC. ” Practice Location

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