Provider Demographics
NPI:1407148281
Name:RESTORING MOBILITY,LLC
Entity Type:Organization
Organization Name:RESTORING MOBILITY,LLC
Other - Org Name:RESTORING MOBILITY OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CROUCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-626-0051
Mailing Address - Street 1:1965 POST ROAD, SUITE 308
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130
Mailing Address - Country:US
Mailing Address - Phone:830-626-0051
Mailing Address - Fax:830-625-0301
Practice Address - Street 1:1965 POST RD STE 308
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2569
Practice Address - Country:US
Practice Address - Phone:830-626-0051
Practice Address - Fax:830-625-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies