Provider Demographics
NPI:1700060332
Name:BEYA'S LLC
Entity type:Organization
Organization Name:BEYA'S LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-631-1408
Mailing Address - Street 1:3049 W ALBERTA RD STE B
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3118
Mailing Address - Country:US
Mailing Address - Phone:877-683-0087
Mailing Address - Fax:956-683-0087
Practice Address - Street 1:3049 W ALBERTA RD STE B
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3118
Practice Address - Country:US
Practice Address - Phone:877-683-0087
Practice Address - Fax:956-683-0087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0100876332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6084960001Medicare NSC