Organization
VIRTUSMD, INC.
Active
Other names
ResurgentMD
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BYRD (C.O.O.)
(318) 841-4312
Entity
Organization
Contact information
Practice address
242 LYNBROOK BLVD, SHREVEPORT, LA 71106-6548
(318) 869-4555
(318) 841-4350
Mailing address
PO BOX 6657, SHREVEPORT, LA 71136-6657
(318) 869-4555
(318) 841-4350
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
09-12573
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-12573
DME PERMIT
LA
Enumeration date
04/22/2011
Last updated
04/22/2011
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