Provider Demographics
NPI:1720309669
Name:B&E MEDICAL SUPPLY AND EQUIPMENT,LLC
Entity Type:Organization
Organization Name:B&E MEDICAL SUPPLY AND EQUIPMENT,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-731-8390
Mailing Address - Street 1:1933 FREDERICKSBURG RD STE 106
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-4456
Mailing Address - Country:US
Mailing Address - Phone:210-375-9674
Mailing Address - Fax:877-679-8360
Practice Address - Street 1:1933 FREDERICKSBURG RD STE 106
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-4456
Practice Address - Country:US
Practice Address - Phone:212-073-1836
Practice Address - Fax:877-679-8360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32041986087332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies