Biotec Wellness, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

BIOTEC WELLNESS, LLC

Practice address

2684 County Road 037
Jasper, TX 75951-6456

Phone

(254) 631-3081

Fax

(512) 233-0514

NPI assigned

Nov 8, 2013

Last updated

Nov 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jackie Authement Jr.

Title

Administrator

Phone

(254) 631-3081

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1780013722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2684 COUNTY ROAD 037",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759516456",
            "telephone_number": "254-631-3081",
            "fax_number": "512-233-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2684 COUNTY ROAD 037",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759516456",
            "telephone_number": "254-631-3081",
            "fax_number": "512-233-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOTEC WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "AUTHEMENT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-631-3081",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Kaye McGraw (Medicine Shoppe)
• Leola Bellamy
• Better Living Medical Equipment & Services, LTD.
• BFC Healthcare, P.a. (Jasper Imaging and Diagnostics)
• Peter Alexander Bidwell, MD
• Maged Ramzy Botros, M.D.
• Kaleb Glenn Brimer, DPT
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Kelli Brown
• Larry D. Brown Sr., M.D.

• Physiological Laboratory in Jasper, TX
• Providers in Jasper, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.