Provider Demographics
NPI:1023141348
Name:MOBILE KINETICS INC.
Entity type:Organization
Organization Name:MOBILE KINETICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:ILAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-270-6411
Mailing Address - Street 1:8200 WEDNESBURY LN
Mailing Address - Street 2:SUITE # 299
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2943
Mailing Address - Country:US
Mailing Address - Phone:713-270-6411
Mailing Address - Fax:713-270-4709
Practice Address - Street 1:8200 WEDNESBURY LN
Practice Address - Street 2:SUITE # 299
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2925
Practice Address - Country:US
Practice Address - Phone:713-270-6411
Practice Address - Fax:713-270-4709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0086250332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies