Provider Demographics
NPI:1659357473
Name:B&I ENTERPRISES
Entity Type:Organization
Organization Name:B&I ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:P
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-291-0008
Mailing Address - Street 1:630 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-8032
Mailing Address - Country:US
Mailing Address - Phone:806-291-0008
Mailing Address - Fax:806-291-0007
Practice Address - Street 1:630 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-8032
Practice Address - Country:US
Practice Address - Phone:806-291-0008
Practice Address - Fax:806-291-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0041001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154413201Medicaid
TX4482960001Medicare ID - Type UnspecifiedMEDICARE