| Organization Name: | MOBILE MEDICAL HOME CARE INC |
| NPI Number: | 1700184389 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUSSELL BACKUS (OWNER) |
| Mailing Address: | 10907 Quaker Ave Lubbock |
| State: | TX US |
| Postal Code: | 794248315 |
| Phone Number: | 8067717798 |
| Fax Number: | 8066879299 |
| NPI Enumeration Date: | 03/07/2011 |
| NPI Last Update Date: | 03/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |