Organization Active NPI

Bio-Tech Medical Supply

Doing business as same as above

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1720196660
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
90059 Issued in TX
Legal business name
BIO-TECH MEDICAL SUPPLY
Doing business as
same as above
Practice address
8035 E R L Thornton Fwy
Suite # 117
Dallas, TX 75228-7018
Phone
(214) 662-0887
Fax
(972) 692-9920
NPI assigned
Aug 29, 2006
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Mr. Jesty Meprathu Varughese
Title
Ceo
Phone
(214) 662-0887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 90059 TX Primary

Addresses

Primary practice location

8035 E R L Thornton Fwy
Suite # 117
Dallas, TX 75228-7018

Mailing address

PO Box 851111
Mesquite, TX 75185-1111
Phone (214) 662-0887

Other identifiers 1

IdentifierTypeStateIssuer
184881401MedicaidTX

Other names 1

  • same as above Doing business as

National Provider Directory

National Provider Directory

Locations

8035 E R L Thornton Fwy
Ste 117
Dallas, TX 75228
Phone (214) 662-0887

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1720196660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851111",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751851111",
            "telephone_number": "214-662-0887",
            "fax_number": "972-692-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 E R L THORNTON FWY",
            "address_2": "SUITE # 117",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287018",
            "telephone_number": "214-662-0887",
            "fax_number": "972-692-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-TECH MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "VARUGHESE",
        "authorized_official_first_name": "JESTY",
        "authorized_official_middle_name": "MEPRATHU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-662-0887",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "90059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184881401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same as above",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.