Provider Demographics
NPI:1023536869
Name:FOUNTAIN HEAD MARKETING
Entity Type:Organization
Organization Name:FOUNTAIN HEAD MARKETING
Other - Org Name:ROMET ELECTRONIC LARYNX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:DODSON
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:210-858-5189
Mailing Address - Street 1:14410 SARATOGA PASS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-1860
Mailing Address - Country:US
Mailing Address - Phone:210-858-5189
Mailing Address - Fax:210-858-9608
Practice Address - Street 1:14410 SARATOGA PASS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-1860
Practice Address - Country:US
Practice Address - Phone:210-858-5189
Practice Address - Fax:210-858-9608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies