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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 : 1962704031
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
Provider Business Mailing Address
First Line : 5940 CROSSLAKE PKWY
Second Line :
City : WACO
State : TX
Zip : 76712-6986
Country : US
Telephone Number : 254-666-8826
Fax Number : 254-666-2926
Provider Business Practice Location Address
First Line : 5940 CROSSLAKE PKWY
Second Line :
City : WACO
State : TX
Zip : 76712-6986
Country : US
Telephone Number : 254-666-8826
Fax Number : 254-666-2926
Authorized Official
Title or Position : VICE PRESIDENT
Name : BARRY L. BLANTON
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 11/23/2010
Last Update Date : 10/17/2023

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