Provider Demographics
NPI:1992097653
Name:L & R ELLIOTT, LLC
Entity type:Organization
Organization Name:L & R ELLIOTT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-669-5224
Mailing Address - Street 1:7801 N LAMAR BLVD
Mailing Address - Street 2:D110
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-1016
Mailing Address - Country:US
Mailing Address - Phone:512-669-5224
Mailing Address - Fax:512-870-9274
Practice Address - Street 1:7801 N LAMAR BLVD
Practice Address - Street 2:D110
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1016
Practice Address - Country:US
Practice Address - Phone:512-669-5224
Practice Address - Fax:512-870-9274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies