Healthcare Provider Details

I. General information

NPI: 1104062926
Provider Name (Legal Business Name): AMERICAN MOBILITY CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2008
Last Update Date: 05/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 MIDWAY ROAD SUITE 140
ADDISON TX
75006
US

IV. Provider business mailing address

2101 MIDWAY RD SUITE 140
CARROLLTON TX
75006-4923
US

V. Phone/Fax

Practice location:
  • Phone: 214-557-1074
  • Fax: 972-788-2334
Mailing address:
  • Phone: 972-788-1735
  • Fax: 972-788-8017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0108528
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD SEDACCA
Title or Position: CEO
Credential:
Phone: 972-788-1735