MEDICARE: CYPRESS MOBILITY INC

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	4833170001	TX
2	332B00000X	Durable Medical Equipment & Medical Supplies		TX

General Provider Information

NPI Number	:	1801897152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYPRESS MOBILITY INC

Provider Business Mailing Address
First Line	:	5715 SADLER CIR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-6613
Country	:	US
Telephone Number	:	214-357-6400
Fax Number	:	214-357-6414

Provider Business Practice Location Address
First Line	:	5715 SADLER CIR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-6613
Country	:	US
Telephone Number	:	214-357-6400
Fax Number	:	214-357-6414

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. BETTY JOE CED
Credential	:
Telephone Number	:	214-357-6400

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	08/22/2020

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