Provider Demographics
NPI:1083175202
Name:B.W. MOBILITY, INC.
Entity Type:Organization
Organization Name:B.W. MOBILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WES
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:210-392-8991
Mailing Address - Street 1:111 RIVERWALK
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-5993
Mailing Address - Country:US
Mailing Address - Phone:210-392-8991
Mailing Address - Fax:
Practice Address - Street 1:9743 US HIGHWAY 87 N STE C
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-4654
Practice Address - Country:US
Practice Address - Phone:210-392-8991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment