Provider Demographics
NPI:1386796126
Name:COMPLETE CARE MEDICAL INC
Entity type:Organization
Organization Name:COMPLETE CARE MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MONTEVERDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-503-7604
Mailing Address - Street 1:5353 W SAM HOUSTON PKWY N
Mailing Address - Street 2:SUITE 170
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-5181
Mailing Address - Country:US
Mailing Address - Phone:800-503-7604
Mailing Address - Fax:866-300-9797
Practice Address - Street 1:5353 W SAM HOUSTON PKWY N
Practice Address - Street 2:SUITE 170
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-5181
Practice Address - Country:US
Practice Address - Phone:800-503-7604
Practice Address - Fax:866-300-9797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies