Mobility Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0089210 Issued in TX

Legal business name

MOBILITY MEDICAL SUPPLY

Practice address

630 Murphy Rd Ste 113
Stafford, TX 77477-5928

Phone

(832) 880-1988

NPI assigned

Jun 23, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Callistus C Edozie

Title

Owner

Phone

(832) 880-1988

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1104087055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MURPHY RD STE 113",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MURPHY RD STE 113",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775928",
            "telephone_number": "832-880-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "EDOZIE",
        "authorized_official_first_name": "CALLISTUS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-880-1988"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0089210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Miller, RN
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• Tonja Miller, LMT
• Rozanne G Millington
• Ersha Lashon Mitchell, LCSW
• Modern Optical
• Mariam Mojisola Mogaji
• Asma Mohammad
• Shukri Mohamed Mohamoud, BCBA
• Devipriya Mohan, PHARMD

• Durable Medical Equipment & Medical Supplies in Stafford, TX
• Providers in Stafford, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.