Provider Demographics
NPI:1346569985
Name:V MEDICAL
Entity Type:Organization
Organization Name:V MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETE
Authorized Official - Middle Name:A
Authorized Official - Last Name:VERAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-286-0336
Mailing Address - Street 1:604 W RHAPSODY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2607
Mailing Address - Country:US
Mailing Address - Phone:210-286-0336
Mailing Address - Fax:210-525-0810
Practice Address - Street 1:604 W RHAPSODY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2607
Practice Address - Country:US
Practice Address - Phone:210-286-0336
Practice Address - Fax:210-525-0810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0094197332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies