Provider Demographics
NPI:1659317600
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:
Authorized Official - Last Name:FALKNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-773-0969
Mailing Address - Street 1:12705 S. KIRKWOOD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477
Mailing Address - Country:US
Mailing Address - Phone:281-494-4027
Mailing Address - Fax:281-494-1505
Practice Address - Street 1:12705 S. KIRKWOOD
Practice Address - Street 2:SUITE 200
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477
Practice Address - Country:US
Practice Address - Phone:281-494-4027
Practice Address - Fax:281-494-1505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101186335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5510220001Medicare ID - Type Unspecified
TX5510220002Medicare ID - Type Unspecified