Provider Demographics
NPI:1710672555
Name:BJW AND ASSOCIATES LLC
Entity Type:Organization
Organization Name:BJW AND ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-769-9529
Mailing Address - Street 1:PO BOX 1268
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634
Mailing Address - Country:US
Mailing Address - Phone:512-769-9529
Mailing Address - Fax:
Practice Address - Street 1:2815 SAINT PAUL RIVERA
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-5708
Practice Address - Country:US
Practice Address - Phone:512-769-9529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty