Provider Demographics
NPI:1548266596
Name:BOHICA, INC.
Entity type:Organization
Organization Name:BOHICA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:CONRAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-541-3722
Mailing Address - Street 1:10631 HARWIN DR
Mailing Address - Street 2:STE 606
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-1535
Mailing Address - Country:US
Mailing Address - Phone:713-541-3722
Mailing Address - Fax:713-541-3864
Practice Address - Street 1:10631 HARWIN DR
Practice Address - Street 2:STE 606
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1535
Practice Address - Country:US
Practice Address - Phone:713-541-3722
Practice Address - Fax:713-541-3864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23440160332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1017680001Medicare NSC