Provider Demographics
NPI:1881217149
Name:B&D HEALTH MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:B&D HEALTH MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-663-1043
Mailing Address - Street 1:100 ALLENTOWN PKWY STE 214
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-4220
Mailing Address - Country:US
Mailing Address - Phone:214-227-2705
Mailing Address - Fax:877-201-4541
Practice Address - Street 1:100 ALLENTOWN PKWY STE 214
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-4220
Practice Address - Country:US
Practice Address - Phone:214-227-2705
Practice Address - Fax:877-201-4541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service