Provider Demographics
NPI:1376809806
Name:REBOUND MEDICAL INC
Entity Type:Organization
Organization Name:REBOUND MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:K
Authorized Official - Last Name:TUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-203-7676
Mailing Address - Street 1:10802 QUAIL PLAZA DR STE 106
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-3117
Mailing Address - Country:US
Mailing Address - Phone:405-203-7676
Mailing Address - Fax:405-749-9999
Practice Address - Street 1:10802 QUAIL PLAZA DR STE 106
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-3117
Practice Address - Country:US
Practice Address - Phone:405-203-7676
Practice Address - Fax:405-749-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies