Healthcare Provider Details

I. General information

NPI: 1194629279
Provider Name (Legal Business Name): MOBILE GASWORX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6144 AIRPORT BLVD # A
MOBILE AL
36608-3143
US

IV. Provider business mailing address

PO BOX 850187
MOBILE AL
36685-0187
US

V. Phone/Fax

Practice location:
  • Phone: 251-438-3614
  • Fax:
Mailing address:
  • Phone: 251-656-0554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. PRESTON TODD SPEAKMAN
Title or Position: PHYSICIAN
Credential: MD
Phone: 251-656-0554