Healthcare Provider Details

I. General information

NPI: 1982532255
Provider Name (Legal Business Name): M-TEE-S MOBILE MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7428 W CAVALIER DR
GLENDALE AZ
85303-0021
US

IV. Provider business mailing address

7428 W CAVALIER DR
GLENDALE AZ
85303-0021
US

V. Phone/Fax

Practice location:
  • Phone: 623-349-1176
  • Fax: 623-349-1176
Mailing address:
  • Phone: 623-349-1176
  • Fax: 623-349-1176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: TOMMY DENT
Title or Position: MANAGER
Credential: DENT
Phone: 602-793-9251