Organization Name: | PRESTON MOBILITY PLUS, INC |
NPI Number: | 1003191776 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRETT CARROLL (PRESIDENT) |
Mailing Address: | 354 Mcdonnell St Suite 2 Lewisville |
State: | TX US |
Postal Code: | 750574808 |
Phone Number: | 8886196863 |
Fax Number: | 8665099160 |
NPI Enumeration Date: | 10/13/2011 |
NPI Last Update Date: | 10/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0077065 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |