Provider Demographics
NPI:1598809030
Name:BE MED, LLC
Entity Type:Organization
Organization Name:BE MED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-539-5050
Mailing Address - Street 1:3500 W DAVIS ST
Mailing Address - Street 2:SUITE 270
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-1849
Mailing Address - Country:US
Mailing Address - Phone:936-539-5050
Mailing Address - Fax:936-539-5055
Practice Address - Street 1:3500 W DAVIS ST
Practice Address - Street 2:SUITE 270
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1849
Practice Address - Country:US
Practice Address - Phone:936-539-5050
Practice Address - Fax:936-539-5055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-17
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4150010001Medicare ID - Type Unspecified
TX146286301Medicaid
TX146285501Medicaid
TX531089OtherBLUE CROSS BLUE SHIELD