Provider Demographics
NPI:1730863143
Name:VRM MEDICAL, , LLC
Entity type:Organization
Organization Name:VRM MEDICAL, , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRGIL
Authorized Official - Middle Name:RUDOLPH
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:479-886-4755
Mailing Address - Street 1:704 N HUGHES ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2819
Mailing Address - Country:US
Mailing Address - Phone:479-886-4755
Mailing Address - Fax:
Practice Address - Street 1:1636 HIGDON FERRY RD # D
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6912
Practice Address - Country:US
Practice Address - Phone:501-651-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty