Provider Demographics
NPI:1700182193
Name:DRIVING SOLUTIONS FOR DISABILITIES, LLC
Entity Type:Organization
Organization Name:DRIVING SOLUTIONS FOR DISABILITIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-347-5006
Mailing Address - Street 1:5150 BROADWAY ST STE 604
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-5710
Mailing Address - Country:US
Mailing Address - Phone:210-347-5006
Mailing Address - Fax:
Practice Address - Street 1:5150 BROADWAY ST STE 604
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-5710
Practice Address - Country:US
Practice Address - Phone:210-347-5006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment