MEDICARE: TND HOLDINGS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	163WD0400X	Diabetes Educator Registered Nurse
3	333600000X	Pharmacy
4	3336C0003X	Community/Retail Pharmacy	28612	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2139394	OTHER		PK

General Provider Information

NPI Number	:	1447591102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TND HOLDINGS LLC

Provider Business Mailing Address
First Line	:	13830 SAWYER RANCH RD # 104
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-5513
Country	:	US
Telephone Number	:	512-382-9381
Fax Number	:	512-532-6689

Provider Business Practice Location Address
First Line	:	13830 SAWYER RANCH RD STE 303
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-5514
Country	:	US
Telephone Number	:	512-382-9381
Fax Number	:	512-532-6689

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	JAMES WALLACE MONTGOMERY
Credential	:
Telephone Number	:	512-658-6376

Provider Enumeration Date	:	03/06/2013
Last Update Date	:	08/09/2023

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Directions to “TND HOLDINGS LLC ” Practice Location

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