Provider Demographics
NPI:1144715012
Name:WATER DOG CONSULTING, LLC
Entity type:Organization
Organization Name:WATER DOG CONSULTING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:T
Authorized Official - Last Name:ROLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-887-4040
Mailing Address - Street 1:100 COMMONS RD STE 7
Mailing Address - Street 2:#379
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-3966
Mailing Address - Country:US
Mailing Address - Phone:512-887-4040
Mailing Address - Fax:512-857-1081
Practice Address - Street 1:1032 CANYON BEND DR STE C
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-5355
Practice Address - Country:US
Practice Address - Phone:512-887-4040
Practice Address - Fax:512-857-1081
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WATER DOG CONSULTING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-24
Last Update Date:2018-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies