Provider Demographics
NPI:1295222156
Name:RANDLES & ASSOCIATES LLC
Entity Type:Organization
Organization Name:RANDLES & ASSOCIATES LLC
Other - Org Name:DOABLE SUPPLIES & EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:RNADLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-360-8700
Mailing Address - Street 1:6500 S PADRE ISLAND DR STE 1A
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-4059
Mailing Address - Country:US
Mailing Address - Phone:361-360-8700
Mailing Address - Fax:361-360-8700
Practice Address - Street 1:6500 S PADRE ISLAND DR STE 1A
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-4059
Practice Address - Country:US
Practice Address - Phone:361-360-8700
Practice Address - Fax:361-360-8700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies