Organization Active NPI

Mobile Vaccination Partners, LLC

  • Public Health or Welfare Agency
  • Cresson, TX
National Provider Identifier
1942989454
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MOBILE VACCINATION PARTNERS, LLC
Practice address
209 Bluebonnet CT
Cresson, TX 76035-5861
Phone
(682) 239-2303
NPI assigned
Jul 12, 2023
Last updated
Jul 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Richard Free III, R.N.
Title
Owner/Operator
Phone
(469) 309-3631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

209 Bluebonnet CT
Cresson, TX 76035-5861

Mailing address

209 Bluebonnet CT
Cresson, TX 76035-5861
Phone (682) 239-2303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1942989454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BLUEBONNET CT",
            "city": "CRESSON",
            "state": "TX",
            "postal_code": "760355861",
            "telephone_number": "682-239-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BLUEBONNET CT",
            "city": "CRESSON",
            "state": "TX",
            "postal_code": "760355861",
            "telephone_number": "682-239-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE VACCINATION PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "FREE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "469-309-3631",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.