Mobility on Wheels

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

0052143 Issued in TX

Legal business name

MOBILITY ON WHEELS

Practice address

1201 E Henderson St
Suite D
Cleburne, TX 76031-5224

Phone

(817) 645-9500

Fax

(817) 645-7356

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Juan Jose Baltazar

Title

President

Phone

(817) 645-9500

Specialties & licenses 1

Addresses

Tax ID family

Mobility on Wheels2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mobility on Wheels

  • Durable Medical Equipment & Medical Supplies
  • Cleburne, TX
  • NPI 1669678306
  NPD tax ID

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740360361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E HENDERSON ST",
            "address_2": "SUITE D",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760315224",
            "telephone_number": "817-645-9500",
            "fax_number": "817-645-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E HENDERSON ST",
            "address_2": "SUITE D",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760315224",
            "telephone_number": "817-645-9500",
            "fax_number": "817-645-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY ON WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALTAZAR",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-645-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0052143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Allison Millham-Jones, FNP-BC
• Shannon Lance Mitchel, O.D.
• Tara Mitchell, LCSW
• Mobile Labs at Your Service LLC
• Mobility on Wheels
• Roger Leroy Montgomery Jr., R.T.
• Monticello Diagnostic Imaging Cleburne, LP
• Jennifer Montoya, PHARM.D.
• Braden J Moore, D.P.M
• Diana E Moore

• Customized Equipment (DME) in Cleburne, TX
• Providers in Cleburne, 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 Aug 22, 2020; 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.