Bioenve, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

K0123 Issued in TX

Legal business name

BIOENVE, LLC

Practice address

1030 Andrews Hwy
Suite 105a
Midland, TX 79701-3872

Phone

(432) 704-5024

NPI assigned

Apr 20, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Stacy Hammond, FNP

Title

Co/Owner

Phone

(325) 690-0620

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1790172526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 ANDREWS HWY",
            "address_2": "SUITE 105A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797013872",
            "telephone_number": "432-704-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 ANDREWS HWY",
            "address_2": "SUITE 105A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797013872",
            "telephone_number": "432-704-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOENVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CO/OWNER",
        "authorized_official_telephone_number": "325-690-0620",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "K0123",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "K0123",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "594982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neel Bhan, MD
• Vidya Bharati Sinha, MD
• Bhuvana Balasekaran MD PA
• Mary Grace Biggs, LPC
• Bio-Medical Applications of Texas, Inc.
• Lucas Clark Bishop, DMD
• Dianna Black
• Rachel Campbell Black, PHARMD
• Stephanie Parker Black, FNP-BC
• Jennifer Blackerby

• General Practice Physician in Midland, TX
• Providers in Midland, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.