Healthcare Provider Details

I. General information

NPI: 1356610182
Provider Name (Legal Business Name): VMD MEDIQUIP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2011
Last Update Date: 02/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 BINZ ST SUITE 480
HOUSTON TX
77004-6900
US

IV. Provider business mailing address

3007 FALLSCREEK CT
PEARLAND TX
77584-7040
US

V. Phone/Fax

Practice location:
  • Phone: 888-500-2348
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DEJAN MILOSEVIC
Title or Position: MANAGER
Credential:
Phone: 888-500-2348