Provider Demographics
NPI:1922354265
Name:RZ MEDICAL SUPPLY
Entity Type:Organization
Organization Name:RZ MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:TYSON
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-549-5429
Mailing Address - Street 1:PO BOX 65631
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79464-5631
Mailing Address - Country:US
Mailing Address - Phone:806-549-5429
Mailing Address - Fax:
Practice Address - Street 1:4120 AVENUE Q
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79412-1643
Practice Address - Country:US
Practice Address - Phone:806-549-5429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies