Provider Demographics
NPI:1528330107
Name:TIM BEATY BUILDERS, INC.
Entity type:Organization
Organization Name:TIM BEATY BUILDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:BEATY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-387-3278
Mailing Address - Street 1:P.O. BOX 68
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76202
Mailing Address - Country:US
Mailing Address - Phone:940-387-3275
Mailing Address - Fax:940-382-5461
Practice Address - Street 1:421 E HICKORY ST
Practice Address - Street 2:#200
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4233
Practice Address - Country:US
Practice Address - Phone:940-387-3278
Practice Address - Fax:940-382-5461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment