Provider Demographics
NPI:1932466000
Name:MONRV, LLC
Entity Type:Organization
Organization Name:MONRV, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:GERI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUDINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-483-9933
Mailing Address - Street 1:PO BOX 95554
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76099-9707
Mailing Address - Country:US
Mailing Address - Phone:469-619-0529
Mailing Address - Fax:469-250-1949
Practice Address - Street 1:4300 SIGMA RD.,
Practice Address - Street 2:STE. 120
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244
Practice Address - Country:US
Practice Address - Phone:469-619-0529
Practice Address - Fax:469-250-1949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty