MEDICARE: B & D CUSTOMIZED SERVICE SOLUTIONS 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	332B00000X	Durable Medical Equipment & Medical Supplies

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

General Provider Information

NPI Number	:	1831372788
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B & D CUSTOMIZED SERVICE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	5016 JACKSBORO HWY
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76114-1930
Country	:	US
Telephone Number	:	817-626-3562
Fax Number	:

Provider Business Practice Location Address
First Line	:	5016 JACKSBORO HWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76114-1930
Country	:	US
Telephone Number	:	817-626-3562
Fax Number	:	817-626-6623

Authorized Official
Title or Position	:	OWNER
Name	:	RONALD EDWARD VEAZEY
Credential	:
Telephone Number	:	360-629-2977

Provider Enumeration Date	:	12/14/2007
Last Update Date	:	08/29/2024

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Directions to “B & D CUSTOMIZED SERVICE SOLUTIONS LLC ” Practice Location

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