Active NPI
Southeast Texas Mobility
- Durable Medical Equipment & Medical Supplies
- Beaumont, TX
National Provider Identifier
1912191750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SOUTHEAST TEXAS MOBILITY
- Practice address
- 1005 Lindbergh Dr
Ste. F
Beaumont, TX 77707-3659 - Phone
- (409) 842-4821
- Fax
- (409) 842-5187
- NPI assigned
- Sep 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Dennis Donnelly
- Title
- Owner
- Phone
- (409) 842-4821
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
1005 Lindbergh Dr
Ste. F
Beaumont, TX 77707-3659
Mailing address
2270 21St St
Beaumont, TX 77706-2952
Phone (409) 842-4821
National Provider Directory
National Provider DirectoryLocations
1005 Lindbergh Dr
Ste F
Beaumont, TX 77707
Phone (409) 842-4821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196899200000",
"number": "1912191750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 21ST ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777062952",
"telephone_number": "409-842-4821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 LINDBERGH DR",
"address_2": "STE. F",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777073659",
"telephone_number": "409-842-4821",
"fax_number": "409-842-5187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST TEXAS MOBILITY",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-05",
"last_updated": "2007-12-06",
"status": "A",
"authorized_official_last_name": "DONNELLY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "DENNIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "409-842-4821",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
- Southeast Texas Infectious Disease PLLC
- Southeast Texas Intensivists, PLLC
- Southeast Texas Medical Associates
- Southeast Texas Medical Associates
- Southeast Texas Medical Associates, LLP
- Southeast Texas OB GYN Associates PA
- Southeast Texas Optical, LLC
- Southeast Texas Phlebotomy Institute, Inc.
- Southeast Texas Professional Health Care Inc
- Southeast Texas Professional Health Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.