Healthcare Provider Details

I. General information

NPI: 1255431425
Provider Name (Legal Business Name): TEXOMA MOBILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 05/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 BURK HAWKINS ST STE B
MIDLOTHIAN TX
76065-5187
US

IV. Provider business mailing address

61958 CARNATION RD
OLATHE CO
81425-9588
US

V. Phone/Fax

Practice location:
  • Phone: 972-775-4337
  • Fax: 972-775-8580
Mailing address:
  • Phone: 970-323-5942
  • Fax: 970-323-5988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0085075
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number0085075
License Number StateTX

VIII. Authorized Official

Name: MRS. KATRINA LYNNE KRAUS
Title or Position: PRESIDENT
Credential:
Phone: 970-323-5942