Provider Demographics
NPI:1053507038
Name:XCEL MOBILE LLC
Entity Type:Organization
Organization Name:XCEL MOBILE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARPE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:979-244-9900
Mailing Address - Street 1:1801 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77414-5111
Mailing Address - Country:US
Mailing Address - Phone:979-244-9900
Mailing Address - Fax:979-244-9901
Practice Address - Street 1:1801 7TH ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:TX
Practice Address - Zip Code:77414-5111
Practice Address - Country:US
Practice Address - Phone:979-244-9900
Practice Address - Fax:979-244-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTIN