Provider Demographics
NPI:1689430746
Name:BEAN FAMILY ENTERPRISES, INC.
Entity Type:Organization
Organization Name:BEAN FAMILY ENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:RHEA
Authorized Official - Last Name:BEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-939-7171
Mailing Address - Street 1:PO BOX 1417
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-5417
Mailing Address - Country:US
Mailing Address - Phone:254-939-7171
Mailing Address - Fax:254-939-2700
Practice Address - Street 1:9035C AERO ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6311
Practice Address - Country:US
Practice Address - Phone:210-984-2023
Practice Address - Fax:254-939-2700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies