Provider Demographics
NPI:1356369243
Name:MOTION MEDICAL GROUP LLC
Entity type:Organization
Organization Name:MOTION MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARIGO
Authorized Official - Middle Name:
Authorized Official - Last Name:AVBOVBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-242-9863
Mailing Address - Street 1:9898 BISSONNET ST
Mailing Address - Street 2:SUITE 375F
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:281-242-9863
Mailing Address - Fax:281-242-9865
Practice Address - Street 1:9898 BISSONNET ST
Practice Address - Street 2:SUITE 375F
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:281-242-9863
Practice Address - Fax:281-242-9865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009568251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677885Medicare ID - Type Unspecified