Provider Demographics
NPI:1013023209
Name:MOBILITY SPECIALISTS INC
Entity Type:Organization
Organization Name:MOBILITY SPECIALISTS INC
Other - Org Name:MOBILITY SOLUTIONS OF AMIRILLO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:SELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-463-2828
Mailing Address - Street 1:4515 S GEORGIA ST STE 138
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79110-1712
Mailing Address - Country:US
Mailing Address - Phone:806-463-2828
Mailing Address - Fax:806-463-1353
Practice Address - Street 1:4515 S GEORGIA ST STE 138
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79110-1712
Practice Address - Country:US
Practice Address - Phone:806-463-2828
Practice Address - Fax:806-463-1353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0046462332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144635301Medicaid
530986OtherBCBS
TX144635301Medicaid