Provider Demographics
NPI:1962125468
Name:RCP INDUSTRIES, LLC
Entity type:Organization
Organization Name:RCP INDUSTRIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:PRUNEDA
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:956-533-0594
Mailing Address - Street 1:922 S CLOSNER BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-5642
Mailing Address - Country:US
Mailing Address - Phone:956-533-0594
Mailing Address - Fax:956-386-9097
Practice Address - Street 1:922 S CLOSNER BLVD STE A
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5642
Practice Address - Country:US
Practice Address - Phone:956-533-0594
Practice Address - Fax:956-386-9097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX382064901Medicaid