Provider Demographics
NPI:1720047632
Name:TEXAS MEDICAL & MOBILITY
Entity Type:Organization
Organization Name:TEXAS MEDICAL & MOBILITY
Other - Org Name:TEXAS MEDICAL AND MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WOODROW
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-444-6775
Mailing Address - Street 1:7007 BELGOLD
Mailing Address - Street 2:SUI H
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066
Mailing Address - Country:US
Mailing Address - Phone:281-477-3939
Mailing Address - Fax:832-237-0103
Practice Address - Street 1:7007 BELGOLD
Practice Address - Street 2:SUI H
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066
Practice Address - Country:US
Practice Address - Phone:281-477-3939
Practice Address - Fax:832-237-0103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144271701Medicaid
LA1631221Medicaid
TX530901OtherBLUE CROSS
TX144271702Medicaid
TX8200226OtherEVERCARE
TX3912480001Medicare UPIN