Healthcare Provider Details

I. General information

NPI: 1063202174
Provider Name (Legal Business Name): RHW COMPOUNDING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11614 BEE CAVES RD STE 130
AUSTIN TX
78738-5551
US

IV. Provider business mailing address

11614 BEE CAVES RD STE 130
AUSTIN TX
78738-5551
US

V. Phone/Fax

Practice location:
  • Phone: 512-994-0008
  • Fax:
Mailing address:
  • Phone: 512-994-0008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. BRADLEY FRAILICKS
Title or Position: COO
Credential: MPAFF
Phone: 129-994-0008