Open Road Mobility, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

P108364M Issued in TX

Legal business name

OPEN ROAD MOBILITY, LLC

Practice address

7411 82ND St
Lubbock, TX 79424-4935

Phone

(806) 771-5873

Fax

(806) 771-5874

NPI assigned

Jun 14, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Gibson

Title

Manager

Phone

(806) 771-5873

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1215299227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794244935",
            "telephone_number": "806-771-5873",
            "fax_number": "806-771-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794244935",
            "telephone_number": "806-771-5873",
            "fax_number": "806-771-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ROAD MOBILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "806-771-5873",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "P108364M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ifeanyichukwu D,C Onukogu, MD
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• Chioma Onyeri, DMD
• Kalarickal J Oommen, MD
• Open MRI of Lubbock
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• Ian Orantes-Orellana, MD
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• Organically You Placenta Encapsulation

• Customized Equipment (DME) in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.