Organization Name: | ADVANCED MOBILITY SYSTEMS |
NPI Number: | 1649320482 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENDA TUCKER (OWNER) |
Mailing Address: | 2110 N Beach St Haltom City |
State: | TX US |
Postal Code: | 761116812 |
Phone Number: | 8174291273 |
Fax Number: | 8178380586 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |