Provider Demographics
NPI:1437154374
Name:VMC MEDGROUP INC
Entity Type:Organization
Organization Name:VMC MEDGROUP INC
Other - Org Name:ALLENMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:903-843-2124
Mailing Address - Street 1:912A W TYLER ST
Mailing Address - Street 2:
Mailing Address - City:GILMER
Mailing Address - State:TX
Mailing Address - Zip Code:75644-2003
Mailing Address - Country:US
Mailing Address - Phone:903-843-2124
Mailing Address - Fax:903-843-2138
Practice Address - Street 1:912A W TYLER ST
Practice Address - Street 2:
Practice Address - City:GILMER
Practice Address - State:TX
Practice Address - Zip Code:75644-2003
Practice Address - Country:US
Practice Address - Phone:903-843-2124
Practice Address - Fax:903-843-2138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0058473332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1314640001Medicare ID - Type UnspecifiedMEDICAL EQUIPMENT PROVIDE