Organization Name: | BRAZOS VALLEY HOME MEDICAL EQUIPMENT, LLC |
NPI Number: | 1750578662 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GENEVA G GARCIA (ADMINISTRATOR) |
Mailing Address: | 3900 State Highway 6 S Ste 110 College Station |
State: | TX US |
Postal Code: | 778455831 |
Phone Number: | 9794858252 |
Fax Number: | 9794858171 |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 09/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0095669 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |