Provider Demographics
NPI:1538308804
Name:MOBILITY MEDICAL
Entity Type:Organization
Organization Name:MOBILITY MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REPATO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:915-630-4600
Mailing Address - Street 1:7017 CROWN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7238
Mailing Address - Country:US
Mailing Address - Phone:915-630-4600
Mailing Address - Fax:915-921-1464
Practice Address - Street 1:7017 CROWN RIDGE DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-7238
Practice Address - Country:US
Practice Address - Phone:915-630-4600
Practice Address - Fax:915-921-1464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX168443332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies