Provider Demographics
NPI:1508144809
Name:TRAUOM LLC
Entity Type:Organization
Organization Name:TRAUOM LLC
Other - Org Name:TREATMENT ROOMS OF AMERICA UOM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:I
Authorized Official - Credentials:MD
Authorized Official - Phone:901-373-8333
Mailing Address - Street 1:2996 KATE BOND RD
Mailing Address - Street 2:307
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-4030
Mailing Address - Country:US
Mailing Address - Phone:901-373-8333
Mailing Address - Fax:
Practice Address - Street 1:2996 KATE BOND RD
Practice Address - Street 2:307
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-4030
Practice Address - Country:US
Practice Address - Phone:901-373-8333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UROLOGY OF MEMPHIS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center