Provider Demographics
NPI:1619023025
Name:CENTERS FOR MOBILITY ROSENBERG LP
Entity Type:Organization
Organization Name:CENTERS FOR MOBILITY ROSENBERG LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NELDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:FALKNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-773-0969
Mailing Address - Street 1:7777 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1802
Mailing Address - Country:US
Mailing Address - Phone:713-773-0969
Mailing Address - Fax:713-773-0923
Practice Address - Street 1:7777 SOUTHWEST FWY
Practice Address - Street 2:SUITE 107
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1802
Practice Address - Country:US
Practice Address - Phone:713-773-0969
Practice Address - Fax:713-773-0923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101208332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180024503Medicaid
TX5510220003Medicare NSC