Provider Demographics
NPI:1235251786
Name:VERSATILE MEDICAL EQUIPMENT INC.
Entity Type:Organization
Organization Name:VERSATILE MEDICAL EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:PEABODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-933-3329
Mailing Address - Street 1:PO BOX 722184
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77272-2184
Mailing Address - Country:US
Mailing Address - Phone:281-933-3329
Mailing Address - Fax:281-933-3359
Practice Address - Street 1:12999 MURPHY RD
Practice Address - Street 2:SUITE M-2
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3955
Practice Address - Country:US
Practice Address - Phone:281-933-3329
Practice Address - Fax:281-933-3359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies