Provider Demographics
NPI:1578740304
Name:BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
Other - Org Name:FRESENIUS MEDICAL CARE GRAND PRAIRIE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:825 DALWORTH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-5546
Mailing Address - Country:US
Mailing Address - Phone:972-266-3891
Mailing Address - Fax:972-266-2822
Practice Address - Street 1:825 DALWORTH ST
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-5546
Practice Address - Country:US
Practice Address - Phone:972-266-3891
Practice Address - Fax:972-266-2822
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-23
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
672633Medicare Oscar/Certification