Provider Demographics
NPI:1245547322
Name:RANJAM, LLC
Entity type:Organization
Organization Name:RANJAM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-305-1754
Mailing Address - Street 1:PO BOX 3504
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76099-3504
Mailing Address - Country:US
Mailing Address - Phone:817-305-1754
Mailing Address - Fax:888-556-6948
Practice Address - Street 1:506 ALAMO TRL
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-8024
Practice Address - Country:US
Practice Address - Phone:817-305-1754
Practice Address - Fax:888-556-6948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies