| Bio Therapeutics | |
|
1819 Broadway St Ste 101 Pearland TX 77581-5671 | |
| (346) 253-7851 | |
| (877) 781-6179 |
| Full Name | Bio Therapeutics |
|---|---|
| Speciality | Pain Medicine |
| Location | 1819 Broadway St Ste 101, Pearland, Texas |
| Authorized Official Name and Position | John E Mcintyre (MEMBER) |
| Authorized Official Contact | 3462537851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bio Therapeutics 1819 Broadway St Ste 101 Pearland TX 77581-5671 Ph: (346) 253-7851 | Bio Therapeutics 1819 Broadway St Ste 101 Pearland TX 77581-5671 Ph: (346) 253-7851 |
| NPI Number | 1811660863 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Medicare PECOS PAC ID | 8325549462 |
|---|---|
| Medicare Enrollment ID | O20250829001118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811660863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (NU) | Primary |
| Provider Name | Bobbye J Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376787796 PECOS PAC ID: 2769622752 Enrollment ID: I20130716000562 |
| Provider Name | Antoinette G Sherrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134578057 PECOS PAC ID: 3971883687 Enrollment ID: I20161214001333 |
| Provider Name | Demia H Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952908519 PECOS PAC ID: 4789097866 Enrollment ID: I20210113002743 |
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