Provider Demographics
NPI:1386468767
Name:TND HOLDINGS, LLC
Entity type:Organization
Organization Name:TND HOLDINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WALLACE
Authorized Official - Last Name:MONTGOMERY
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:512-658-6376
Mailing Address - Street 1:13830 SAWYER RANCH RD STE 104
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-5514
Mailing Address - Country:US
Mailing Address - Phone:512-382-9381
Mailing Address - Fax:512-532-6689
Practice Address - Street 1:13830 SAWYER RANCH RD STE 303
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-5514
Practice Address - Country:US
Practice Address - Phone:512-382-9381
Practice Address - Fax:512-532-6689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty