Organization
BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
Active
Other names
Carrizo Springs Kidney Disease Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FAWCETT (TREASURER)
(781) 402-9000
Entity
Organization
Contact information
Practice address
409 S 7TH ST, CARRIZO SPRINGS, TX 78834-3805
(830) 876-3939
(830) 876-3901
Mailing address
409 S 7TH ST, CARRIZO SPRINGS, TX 78834-3805
(830) 876-3939
(830) 876-3901
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z07984428
—
TX
Enumeration date
06/03/2006
Last updated
08/22/2020
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