Provider Demographics
NPI:1821170184
Name:SPECIAL MOBILITY, INC
Entity Type:Organization
Organization Name:SPECIAL MOBILITY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:G
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-723-0770
Mailing Address - Street 1:104 E CALTON RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6335
Mailing Address - Country:US
Mailing Address - Phone:956-723-0770
Mailing Address - Fax:
Practice Address - Street 1:104 E CALTON RD
Practice Address - Street 2:SUITE 110
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6335
Practice Address - Country:US
Practice Address - Phone:956-723-0770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0087926332B00000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1526493-05OtherCSHCN
TX1526493-03OtherCSHCN TPI
TX1526493-02Medicaid
TX1526493-04OtherCSHCN TPI
TX1526493-01Medicaid
TX4475210001Medicare NSC