Organization Name: | BCM INNOVATIVE THERAPIES, INC. |
NPI Number: | 1225176787 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETSY STRODER (PRESIDENT) |
Mailing Address: | 3728 S Us Highway 287 Corsicana |
State: | TX US |
Postal Code: | 751098960 |
Phone Number: | 9038794808 |
Fax Number: | 9038746387 |
NPI Enumeration Date: | 02/04/2007 |
NPI Last Update Date: | 10/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |