Organization Name: | VIRTUSMD, INC. |
NPI Number: | 1164713335 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM BYRD (C.O.O.) |
Mailing Address: | 242 Lynbrook Blvd Shreveport |
State: | LA US |
Postal Code: | 711066548 |
Phone Number: | 3188694555 |
Fax Number: | 3188414350 |
NPI Enumeration Date: | 04/22/2011 |
NPI Last Update Date: | 04/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 09-12573 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |