Provider Demographics
NPI:1235464207
Name:B & D CUSTOMIZED SERVICE SOLUTIONS LLC
Entity Type:Organization
Organization Name:B & D CUSTOMIZED SERVICE SOLUTIONS LLC
Other - Org Name:ALLCARE MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SPECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-294-2134
Mailing Address - Street 1:811 OAK MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:OAK POINT
Mailing Address - State:TX
Mailing Address - Zip Code:75068-3063
Mailing Address - Country:US
Mailing Address - Phone:972-294-2134
Mailing Address - Fax:
Practice Address - Street 1:208 W BEDFORD ST
Practice Address - Street 2:
Practice Address - City:DIMMITT
Practice Address - State:TX
Practice Address - Zip Code:79027-2506
Practice Address - Country:US
Practice Address - Phone:806-647-5105
Practice Address - Fax:806-647-5120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1929903Medicaid
TX2112021Medicaid
TX1929903Medicaid