Provider Demographics
NPI:1770575169
Name:BICEN TECHNOLOGY INC
Entity type:Organization
Organization Name:BICEN TECHNOLOGY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ENO
Authorized Official - Middle Name:A
Authorized Official - Last Name:EBONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-498-9393
Mailing Address - Street 1:5750 DAVIS BLVD
Mailing Address - Street 2:STE 103
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-6480
Mailing Address - Country:US
Mailing Address - Phone:817-498-9393
Mailing Address - Fax:817-577-9786
Practice Address - Street 1:5750 DAVIS BLVD
Practice Address - Street 2:STE 103
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-6480
Practice Address - Country:US
Practice Address - Phone:817-498-9393
Practice Address - Fax:817-577-9786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-22
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4901280001Medicare NSC