Provider Demographics
NPI:1912699059
Name:UNITED CARRIER MOBILITY
Entity Type:Organization
Organization Name:UNITED CARRIER MOBILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAWETE
Authorized Official - Middle Name:JUNIOR
Authorized Official - Last Name:ANTONIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:539-295-2184
Mailing Address - Street 1:6245 E 38TH ST APT A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-5270
Mailing Address - Country:US
Mailing Address - Phone:539-295-2184
Mailing Address - Fax:
Practice Address - Street 1:6245 E 38TH ST APT A
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5270
Practice Address - Country:US
Practice Address - Phone:539-295-2184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)