Healthcare Provider Details

I. General information

NPI: 1306157797
Provider Name (Legal Business Name): R MARTIN LIMITED COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2010
Last Update Date: 12/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 N LAMAR BLVD STE C65
AUSTIN TX
78752-1016
US

IV. Provider business mailing address

7801 N LAMAR BLVD STE C65
AUSTIN TX
78752-1016
US

V. Phone/Fax

Practice location:
  • Phone: 512-476-0500
  • Fax: 512-476-0500
Mailing address:
  • Phone: 512-476-0500
  • Fax: 512-476-0500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: RANDALL SCHLEIER
Title or Position: PRESIDENT
Credential:
Phone: 512-476-0500