Healthcare Provider Details

I. General information

NPI: 1730863143
Provider Name (Legal Business Name): VRM MEDICAL, , LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1636 HIGDON FERRY RD # D
HOT SPRINGS AR
71913-6912
US

IV. Provider business mailing address

704 N HUGHES ST
LITTLE ROCK AR
72205-2819
US

V. Phone/Fax

Practice location:
  • Phone: 501-651-2000
  • Fax:
Mailing address:
  • Phone: 479-886-4755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VIRGIL RUDOLPH MASSEY III
Title or Position: OWNER
Credential: MD
Phone: 479-886-4755