Provider Demographics
NPI:1700250123
Name:CAHRMC, LLC
Entity Type:Organization
Organization Name:CAHRMC, LLC
Other - Org Name:RICE MEDICAL ASSOCIATES - WALLIS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:JANEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-234-5571
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:EAGLE LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:77434-3298
Mailing Address - Country:US
Mailing Address - Phone:979-234-2551
Mailing Address - Fax:979-234-5994
Practice Address - Street 1:6818 GUYLER ST
Practice Address - Street 2:
Practice Address - City:WALLIS
Practice Address - State:TX
Practice Address - Zip Code:77485-8006
Practice Address - Country:US
Practice Address - Phone:979-234-2551
Practice Address - Fax:979-234-5994
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAHRMC, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-23
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty