MEDICARE: PILLAR MOBILITY 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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1972259612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PILLAR MOBILITY LLC

Provider Business Mailing Address
First Line	:	25003 PITKIN RD STE G200
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1533
Country	:	US
Telephone Number	:	713-557-5390
Fax Number	:

Provider Business Practice Location Address
First Line	:	25003 PITKIN RD STE G200
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1533
Country	:	US
Telephone Number	:	713-557-5390
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL WRIGHT
Credential	:
Telephone Number	:	713-557-5390

Provider Enumeration Date	:	02/22/2022
Last Update Date	:	02/22/2022

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