Provider Demographics
NPI:1558597948
Name:ROKK ENTERPRISES
Entity Type:Organization
Organization Name:ROKK ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:V
Authorized Official - Credentials:
Authorized Official - Phone:713-826-7403
Mailing Address - Street 1:3402 PAINTEDFERN PL
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-8644
Mailing Address - Country:US
Mailing Address - Phone:713-826-7403
Mailing Address - Fax:
Practice Address - Street 1:20111 SUNCHASE WAY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-4948
Practice Address - Country:US
Practice Address - Phone:281-787-0396
Practice Address - Fax:281-829-9509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-31
Last Update Date:2009-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies