Organization Active NPI

Bio-Medical Applications of Texas, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Carrizo Springs, TX
National Provider Identifier
1619915204
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
BIO-MEDICAL APPLICATIONS OF TEXAS, INC.
Doing business as
Carrizo Springs Kidney Disease Clinic
Practice address
409 S 7TH St
Carrizo Springs, TX 78834-3805
Phone
(830) 876-3939
Fax
(830) 876-3901
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Fawcett
Title
Treasurer
Phone
(781) 402-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

409 S 7TH St
Carrizo Springs, TX 78834-3805

Mailing address

409 S 7TH St
Carrizo Springs, TX 78834-3805
Phone (830) 876-3939

Other identifiers 1

IdentifierTypeStateIssuer
Z07984428MedicaidTX

Other names 1

  • Carrizo Springs Kidney Disease Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

409 S 7th St
Carrizo Springs, TX 78834
Phone (830) 773-0212

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619915204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 7TH ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343805",
            "telephone_number": "830-876-3939",
            "fax_number": "830-876-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S 7TH ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343805",
            "telephone_number": "830-876-3939",
            "fax_number": "830-876-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-MEDICAL APPLICATIONS OF TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-402-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z07984428",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrizo Springs Kidney Disease Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrizo Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.