Provider Demographics
NPI:1386429454
Name:FALCON MED EQPT LLC
Entity type:Organization
Organization Name:FALCON MED EQPT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN SWELM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-368-4622
Mailing Address - Street 1:9415 BURNET RD # 332A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5255
Mailing Address - Country:US
Mailing Address - Phone:512-368-4622
Mailing Address - Fax:
Practice Address - Street 1:9415 BURNET RD # 332A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5255
Practice Address - Country:US
Practice Address - Phone:512-368-4622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies