Provider Demographics
NPI:1942691258
Name:PINEWOOD MOBILITY INC.
Entity Type:Organization
Organization Name:PINEWOOD MOBILITY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-645-3917
Mailing Address - Street 1:1416 NIX ST
Mailing Address - Street 2:
Mailing Address - City:DAINGERFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:75638-2153
Mailing Address - Country:US
Mailing Address - Phone:903-645-3917
Mailing Address - Fax:903-645-3919
Practice Address - Street 1:1416 NIX ST
Practice Address - Street 2:
Practice Address - City:DAINGERFIELD
Practice Address - State:TX
Practice Address - Zip Code:75638-2153
Practice Address - Country:US
Practice Address - Phone:903-645-3917
Practice Address - Fax:903-645-3919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment