Provider Demographics
NPI:1902053523
Name:BPSP COMPANY
Entity Type:Organization
Organization Name:BPSP COMPANY
Other - Org Name:MEDICAL Z
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUCHEF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-521-7074
Mailing Address - Street 1:6800 ALAMO DOWNS PKWY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-4515
Mailing Address - Country:US
Mailing Address - Phone:210-521-7074
Mailing Address - Fax:210-521-6874
Practice Address - Street 1:6800 ALAMO DOWNS PKWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-4515
Practice Address - Country:US
Practice Address - Phone:210-521-7074
Practice Address - Fax:210-521-6874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0086584332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies