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Organization

BCP VENTURES LLC

Active
Other names
Innovative Seating and Mobility
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL N. COFFMAN JR. ATP, RRTS (PRESIDENT/CEO)
(972) 602-9850
Entity
Organization

Contact information

Practice address
2617 AERO DR, GRAND PRAIRIE, TX 75052-7637
(972) 602-9850
(972) 602-9852
Mailing address
2617 AERO DR, GRAND PRAIRIE, TX 75052-7637
(972) 602-9850
(972) 602-9852

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BC3200X
Customized Equipment (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
283042401
TX
Enumeration date
01/05/2011
Last updated
01/11/2012
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