MEDICARE: ARKANSAS MOBILITY SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1023447596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARKANSAS MOBILITY SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	2712 MILTON AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-1521
Country	:	US
Telephone Number	:	214-455-3716
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 COLLINS INDUSTRIAL PL
Second Line	:	SUITE 1
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72113-6791
Country	:	US
Telephone Number	:	214-455-3716
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. GORDON SCOTT RANEY
Credential	:
Telephone Number	:	214-455-3716

Provider Enumeration Date	:	11/05/2013
Last Update Date	:	11/05/2013

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Directions to “ARKANSAS MOBILITY SOLUTIONS LLC ” Practice Location

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