Provider Demographics
NPI:1114329547
Name:BT MEDICAL SUPPLIE LLC
Entity Type:Organization
Organization Name:BT MEDICAL SUPPLIE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:HOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-885-8700
Mailing Address - Street 1:201 LINDA DR
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-4354
Mailing Address - Country:US
Mailing Address - Phone:903-962-0371
Mailing Address - Fax:
Practice Address - Street 1:513 E GARLAND ST
Practice Address - Street 2:
Practice Address - City:GRAND SALINE
Practice Address - State:TX
Practice Address - Zip Code:75140-1984
Practice Address - Country:US
Practice Address - Phone:903-885-8700
Practice Address - Fax:903-885-8711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies