Provider Demographics
NPI:1497505408
Name:BEE CAVE INTEGRATIVE LLC
Entity type:Organization
Organization Name:BEE CAVE INTEGRATIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-851-4703
Mailing Address - Street 1:3944 RANCH ROAD 620 S STE 102
Mailing Address - Street 2:
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-7178
Mailing Address - Country:US
Mailing Address - Phone:512-351-9139
Mailing Address - Fax:
Practice Address - Street 1:4205 BUENA VISTA ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-4660
Practice Address - Country:US
Practice Address - Phone:512-351-9139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy