Provider Demographics
NPI:1366833774
Name:R&A MEDICAL SERVICE LLC
Entity Type:Organization
Organization Name:R&A MEDICAL SERVICE LLC
Other - Org Name:R & A MEDICAL SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-322-3518
Mailing Address - Street 1:4004 BUSINESS PARK DR.
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79110
Mailing Address - Country:US
Mailing Address - Phone:806-317-6249
Mailing Address - Fax:806-803-0087
Practice Address - Street 1:5216 SW 37TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-4222
Practice Address - Country:US
Practice Address - Phone:806-317-6249
Practice Address - Fax:806-803-0087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-08
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies