Provider Demographics
NPI:1164624888
Name:BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
Other - Org Name:BMA MARLIN
Other - Org Type:Other Name
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-2668
Mailing Address - Street 1:920 WINTER ST
Mailing Address - Street 2:CKD SERVICES
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1457
Mailing Address - Country:US
Mailing Address - Phone:800-662-1237
Mailing Address - Fax:781-699-4046
Practice Address - Street 1:602 S STATE HIGHWAY 6
Practice Address - Street 2:CKD SERVICES OF MARLIN
Practice Address - City:MARLIN
Practice Address - State:TX
Practice Address - Zip Code:76661-3527
Practice Address - Country:US
Practice Address - Phone:254-883-3699
Practice Address - Fax:254-883-3055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment