Healthcare Provider Details

I. General information

NPI: 1386796126
Provider Name (Legal Business Name): COMPLETE CARE MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 11/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5353 W SAM HOUSTON PKWY N SUITE 170
HOUSTON TX
77041-5181
US

IV. Provider business mailing address

5353 W SAM HOUSTON PKWY N SUITE 170
HOUSTON TX
77041-5181
US

V. Phone/Fax

Practice location:
  • Phone: 800-503-7604
  • Fax: 866-300-9797
Mailing address:
  • Phone: 800-503-7604
  • Fax: 866-300-9797

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: MR. JOHN P MONTEVERDE
Title or Position: CEO
Credential:
Phone: 800-503-7604