Provider Demographics
NPI:1497707533
Name:ACCESS2MOBILITY, INC
Entity Type:Organization
Organization Name:ACCESS2MOBILITY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JUDSON
Authorized Official - Last Name:DEMOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-592-6760
Mailing Address - Street 1:12406 STATE HIGHWAY 155 S
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-6446
Mailing Address - Country:US
Mailing Address - Phone:903-592-6760
Mailing Address - Fax:903-592-8922
Practice Address - Street 1:12406 STATE HIGHWAY 155 S
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-6446
Practice Address - Country:US
Practice Address - Phone:903-592-6760
Practice Address - Fax:903-592-8922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168691702Medicaid
TX531775OtherBLUE CROSS PROVIDER
TX1686917-01Medicaid
TX611395700OtherUS DEPT OF LABOR, OWCP
TX1686917-01Medicaid