MEDICARE: B2 INTEGRATED SERVIVES 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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1861764714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B2 INTEGRATED SERVIVES INC

Provider Business Mailing Address
First Line	:	15807 TAMPKE PL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-5914
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15807 TAMPKE PL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-5914
Country	:	US
Telephone Number	:	210-313-8567
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. KIMBERLY RENEE BYRD
Credential	:
Telephone Number	:	210-313-8567

Provider Enumeration Date	:	02/07/2012
Last Update Date	:	02/07/2012

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Directions to “B2 INTEGRATED SERVIVES INC ” Practice Location

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