Provider Demographics
NPI:1124289061
Name:BIOFLEX MEDICAL TECHNOLOGIES
Entity type:Organization
Organization Name:BIOFLEX MEDICAL TECHNOLOGIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:W
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-286-5272
Mailing Address - Street 1:905 TODVILLE RD APT 5
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-3915
Mailing Address - Country:US
Mailing Address - Phone:469-286-5272
Mailing Address - Fax:214-941-2735
Practice Address - Street 1:628 TENNA LOMA CT
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-3133
Practice Address - Country:US
Practice Address - Phone:214-646-4848
Practice Address - Fax:214-941-2735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies