Provider Demographics
NPI:1801897152
Name:CYPRESS MOBILITY INC
Entity type:Organization
Organization Name:CYPRESS MOBILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:CED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-357-6400
Mailing Address - Street 1:5715 SADLER CIR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-6613
Mailing Address - Country:US
Mailing Address - Phone:214-357-6400
Mailing Address - Fax:214-357-6414
Practice Address - Street 1:5715 SADLER CIR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-6613
Practice Address - Country:US
Practice Address - Phone:214-357-6400
Practice Address - Fax:214-357-6414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4833170001332B00000X
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4833170001Medicare ID - Type Unspecified