Healthcare Provider Details

I. General information

NPI: 1952220006
Provider Name (Legal Business Name): TANDO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15000 W AIRPORT BLVD APT 1234
SUGAR LAND TX
77498-7260
US

IV. Provider business mailing address

15000 W AIRPORT BLVD APT 1234
SUGAR LAND TX
77498-7260
US

V. Phone/Fax

Practice location:
  • Phone: 346-396-1252
  • Fax:
Mailing address:
  • Phone: 346-396-1252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: OLIVIA HENRY
Title or Position: MANAGING MEMBER
Credential:
Phone: 346-396-1252