Provider Demographics
NPI:1073865309
Name:RND MEDICAL, LLC
Entity Type:Organization
Organization Name:RND MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:NOLAN
Authorized Official - Last Name:DONAHUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-446-5709
Mailing Address - Street 1:PO BOX 270594
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78427-0594
Mailing Address - Country:US
Mailing Address - Phone:361-446-5709
Mailing Address - Fax:361-643-4319
Practice Address - Street 1:509 E BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:TX
Practice Address - Zip Code:78374-4203
Practice Address - Country:US
Practice Address - Phone:361-446-5709
Practice Address - Fax:361-643-4319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies