Provider Demographics
NPI:1952777062
Name:MOBILITY HEALTHCARE GROUP LLC
Entity Type:Organization
Organization Name:MOBILITY HEALTHCARE GROUP LLC
Other - Org Name:MOBILITY WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KURESHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-342-8708
Mailing Address - Street 1:5900 S LAKE FOREST DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2193
Mailing Address - Country:US
Mailing Address - Phone:469-342-8708
Mailing Address - Fax:214-451-6063
Practice Address - Street 1:431 STACY RD
Practice Address - Street 2:SUITE 107
Practice Address - City:FAIRVIEW
Practice Address - State:TX
Practice Address - Zip Code:75069-8741
Practice Address - Country:US
Practice Address - Phone:214-310-2547
Practice Address - Fax:214-451-6063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty