Provider Demographics
NPI:1659548345
Name:INDEPENDENT MOBILITY
Entity Type:Organization
Organization Name:INDEPENDENT MOBILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:GORENA
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:956-383-9333
Mailing Address - Street 1:3121 S US HIGHWAY 281
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9696
Mailing Address - Country:US
Mailing Address - Phone:956-383-9333
Mailing Address - Fax:956-383-9334
Practice Address - Street 1:3121 S US HIGHWAY 281
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9696
Practice Address - Country:US
Practice Address - Phone:956-383-9333
Practice Address - Fax:956-383-9334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6322250001Medicare NSC