Provider Demographics
NPI:1972906790
Name:BETTER VARIETY MEDICAL LLC
Entity Type:Organization
Organization Name:BETTER VARIETY MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOADANI
Authorized Official - Middle Name:PAREDES
Authorized Official - Last Name:BUSTAMANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-955-7727
Mailing Address - Street 1:4512 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BACLIFF
Mailing Address - State:TX
Mailing Address - Zip Code:77518-1600
Mailing Address - Country:US
Mailing Address - Phone:832-955-7727
Mailing Address - Fax:832-218-4285
Practice Address - Street 1:4512 1ST ST
Practice Address - Street 2:
Practice Address - City:BACLIFF
Practice Address - State:TX
Practice Address - Zip Code:77518-1600
Practice Address - Country:US
Practice Address - Phone:832-955-7727
Practice Address - Fax:832-218-4285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001422332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies