Provider Demographics
NPI:1801943352
Name:T H RAINWATER, INC.
Entity type:Organization
Organization Name:T H RAINWATER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:WADE
Authorized Official - Last Name:RAINWATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-521-6710
Mailing Address - Street 1:9152 E 102ND ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-6922
Mailing Address - Country:US
Mailing Address - Phone:918-521-6710
Mailing Address - Fax:866-679-9095
Practice Address - Street 1:9152 E 102ND ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-6922
Practice Address - Country:US
Practice Address - Phone:918-521-6710
Practice Address - Fax:866-679-9095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies