Provider Demographics
NPI:1982836532
Name:MOBILE VACCINE SOLUTIONS
Entity Type:Organization
Organization Name:MOBILE VACCINE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-573-2511
Mailing Address - Street 1:411 DEWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:COVE
Mailing Address - State:TX
Mailing Address - Zip Code:77523-8828
Mailing Address - Country:US
Mailing Address - Phone:281-573-2511
Mailing Address - Fax:281-573-2511
Practice Address - Street 1:411 DEWBERRY LN
Practice Address - Street 2:
Practice Address - City:COVE
Practice Address - State:TX
Practice Address - Zip Code:77523-8828
Practice Address - Country:US
Practice Address - Phone:281-573-2511
Practice Address - Fax:281-573-2511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health