Provider Demographics
NPI:1437437944
Name:BIOS FAMILY CLINIC, PA
Entity Type:Organization
Organization Name:BIOS FAMILY CLINIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-538-2467
Mailing Address - Street 1:703 HWY 90 E
Mailing Address - Street 2:STE 108
Mailing Address - City:CASTROVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78009-5242
Mailing Address - Country:US
Mailing Address - Phone:830-538-2467
Mailing Address - Fax:830-538-2475
Practice Address - Street 1:703 HWY 90 E
Practice Address - Street 2:STE 108
Practice Address - City:CASTROVILLE
Practice Address - State:TX
Practice Address - Zip Code:78009-5242
Practice Address - Country:US
Practice Address - Phone:830-538-2467
Practice Address - Fax:830-538-2475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5339207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty