Provider Demographics
NPI:1720116221
Name:RIVERTREE RESOURCE RT CONSULTING AND EDUCATION
Entity type:Organization
Organization Name:RIVERTREE RESOURCE RT CONSULTING AND EDUCATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:POLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:RRT RCP
Authorized Official - Phone:940-937-0400
Mailing Address - Street 1:PO BOX 155
Mailing Address - Street 2:
Mailing Address - City:ESTELLINE
Mailing Address - State:TX
Mailing Address - Zip Code:79233-0155
Mailing Address - Country:US
Mailing Address - Phone:940-937-0400
Mailing Address - Fax:940-937-0401
Practice Address - Street 1:1902 AVENUE G NW
Practice Address - Street 2:SUITE I 1
Practice Address - City:CHILDRESS
Practice Address - State:TX
Practice Address - Zip Code:79201-3310
Practice Address - Country:US
Practice Address - Phone:940-937-0400
Practice Address - Fax:940-937-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0093345332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4679500001Medicare ID - Type UnspecifiedPROVIDER