Provider Demographics
NPI:1790646487
Name:EFAST MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:EFAST MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ATIF
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:832-946-3799
Mailing Address - Street 1:7511 PLAINS LODGE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3919
Mailing Address - Country:US
Mailing Address - Phone:832-946-3799
Mailing Address - Fax:
Practice Address - Street 1:7511 PLAINS LODGE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3919
Practice Address - Country:US
Practice Address - Phone:832-946-3799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-21
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies