Provider Demographics
NPI:1821638222
Name:MONARCH MEDICAL LLC
Entity Type:Organization
Organization Name:MONARCH MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DENNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-712-0146
Mailing Address - Street 1:4007 MCCULLOUGH AVE STE 438
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-2420
Mailing Address - Country:US
Mailing Address - Phone:215-622-1180
Mailing Address - Fax:210-783-8699
Practice Address - Street 1:9900 SPECTRUM DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-4555
Practice Address - Country:US
Practice Address - Phone:888-712-0146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-14
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies