Provider Demographics
NPI:1811522535
Name:BONRICH CAPITAL ASSETS LLC
Entity type:Organization
Organization Name:BONRICH CAPITAL ASSETS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FIX
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, DME
Authorized Official - Phone:817-487-3696
Mailing Address - Street 1:4748 COUNTY ROAD 1100
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:76050-4080
Mailing Address - Country:US
Mailing Address - Phone:817-487-3696
Mailing Address - Fax:
Practice Address - Street 1:4748 COUNTY ROAD 1100
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:TX
Practice Address - Zip Code:76050-4080
Practice Address - Country:US
Practice Address - Phone:817-487-3696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies