Provider Demographics
NPI:1558134205
Name:RG MEDICALSUPPLIES LLC
Entity Type:Organization
Organization Name:RG MEDICALSUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:GHUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-577-4273
Mailing Address - Street 1:131 MCKINNEY ST STE 204
Mailing Address - Street 2:
Mailing Address - City:FARMERSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75442-2213
Mailing Address - Country:US
Mailing Address - Phone:972-784-9099
Mailing Address - Fax:
Practice Address - Street 1:131 MCKINNEY ST STE 204
Practice Address - Street 2:
Practice Address - City:FARMERSVILLE
Practice Address - State:TX
Practice Address - Zip Code:75442-2213
Practice Address - Country:US
Practice Address - Phone:972-784-9099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies