Provider Demographics
NPI:1487641692
Name:BEK MEDICAL INC
Entity Type:Organization
Organization Name:BEK MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-599-1129
Mailing Address - Street 1:1239 LAFAYETTE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-1219
Mailing Address - Country:US
Mailing Address - Phone:915-599-1129
Mailing Address - Fax:915-599-1141
Practice Address - Street 1:1239 LAFAYETTE DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-1219
Practice Address - Country:US
Practice Address - Phone:915-599-1129
Practice Address - Fax:915-599-1141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX078932301Medicaid
TX010293101Medicaid
TX010293102Medicaid
TX011814301Medicaid