Provider Demographics
NPI:1407206303
Name:BDS HEALTHCARE, LLC
Entity Type:Organization
Organization Name:BDS HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CARY
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROSSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-888-8099
Mailing Address - Street 1:1321 VALWOOD PKWY STE 660
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-6889
Mailing Address - Country:US
Mailing Address - Phone:469-221-9405
Mailing Address - Fax:877-670-0124
Practice Address - Street 1:1321 VALWOOD PKWY STE 660
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-6889
Practice Address - Country:US
Practice Address - Phone:469-221-9405
Practice Address - Fax:877-670-0124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2113755291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory