Provider Demographics
NPI:1083783039
Name:B & B MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:B & B MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:ESPEY
Authorized Official - Suffix:
Authorized Official - Credentials:CCO
Authorized Official - Phone:405-235-9548
Mailing Address - Street 1:2236 NW 10TH ST
Mailing Address - Street 2:103
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-5668
Mailing Address - Country:US
Mailing Address - Phone:405-235-9548
Mailing Address - Fax:405-272-0889
Practice Address - Street 1:220 BARREN SPRINGS DR
Practice Address - Street 2:24-26
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-5923
Practice Address - Country:US
Practice Address - Phone:281-445-8911
Practice Address - Fax:281-445-8942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0074592332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176791502Medicaid
TX=========002OtherTRICARE
TX=========002OtherTRICARE