1720047632 NPI number — TEXAS MEDICAL & MOBILITY

Table of content: (NPI 1720047632)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720047632 NPI number — TEXAS MEDICAL & MOBILITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEXAS MEDICAL & MOBILITY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720047632
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/06/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7007 BELGOLD
Provider Second Line Business Mailing Address:
SUI H
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77066
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-477-3939
Provider Business Mailing Address Fax Number:
832-237-0103

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7007 BELGOLD
Provider Second Line Business Practice Location Address:
SUI H
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77066
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-477-3939
Provider Business Practice Location Address Fax Number:
832-237-0103
Provider Enumeration Date:
03/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCDANIEL
Authorized Official First Name:
WOODROW
Authorized Official Middle Name:
W
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
713-444-6775

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 144271701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1631221 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 530901 . This is a "BLUE CROSS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 144271702 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8200226 . This is a "EVERCARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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