Provider Demographics
NPI:1720265523
Name:B&W ENTERPRISE
Entity Type:Organization
Organization Name:B&W ENTERPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:FR
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-763-0863
Mailing Address - Street 1:3309 WINTHROP AVE.
Mailing Address - Street 2:SUITE 69
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-5608
Mailing Address - Country:US
Mailing Address - Phone:817-763-0863
Mailing Address - Fax:817-731-3692
Practice Address - Street 1:3309 WINTHROP AVE
Practice Address - Street 2:SUITE 69
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-5614
Practice Address - Country:US
Practice Address - Phone:817-763-0863
Practice Address - Fax:817-731-3692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment