Organization
RELIANT MEDICAL LLC
Active
Other names
Reliant Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD M SMITH (CEO)
(318) 322-8326
Entity
Organization
Contact information
Practice address
4315 TEXAS BLVD, TEXARKANA, TX 75503-3024
(877) 354-2688
(888) 972-9703
Mailing address
PO BOX 14813, MONROE, LA 71207-4813
(877) 354-2688
(888) 972-9703
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149168
—
TX
05
—
200724830A
—
OK
05
—
214845407
—
AR
Enumeration date
01/26/2016
Last updated
06/17/2025
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