Organization
BIOTEC WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKIE AUTHEMENT JR. (ADMINISTRATOR)
(254) 631-3081
Entity
Organization
Contact information
Practice address
2684 COUNTY ROAD 037, JASPER, TX 75951-6456
(254) 631-3081
(512) 233-0514
Mailing address
2684 COUNTY ROAD 037, JASPER, TX 75951-6456
(254) 631-3081
(512) 233-0514
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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